Request for Reconsideration of Library Resources
Link to this document in PDF format
The Library values your opinion. If you have an objection
to any library resources, please complete this entire form,
outlining your concerns as concisely as possible. A librarian
will respond to your inquiry in the near future.
Author:______________________________________________________________________
Title:________________________________________________________________________
Format: Book Internet Video Audio Cass. or CD Periodical
Please answer the following questions concisely: (Use the
back side of form or additional paper if necessary.)
1. How did you learn about this material?
2. Did you finish the entire work? If not, what parts were
not completed?
3. What are your objections to this material? Please be
specific in citing pages or passages.
4. What do you believe might be the result or harm in viewing
this work?
5. Is there anything worthwhile in this material?
6. Do you have recommendations for other materials to use
in place of this?
- - - - - - - - - - - - - - - - - - - (for library response
to your suggestions) - - - - - - - - - - - - - -
Your Name: ___________ Date: _
Address: _
An Organization Name: _________________________________________________________
Telephone: Home ________ Work _____
After completing the questions on this form, please return
the form to any library staff.
All requests will be held in confidence.
Adopted by the Amherst County Public Library Board of Trustees
March 25, 2003
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