EmailMe Form - Request for Reconsideration of Library Materials

Author/Artist *
Title *
Publisher/Producer
Type of Material *
Book
DVD
CD
Magazine
Other
If Other, please describe.
Format *
Print
Digital
Name *
First Last
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email
Phone *
### - ### - ####
To what in this material do you object? (Please be specific. Cite pages, pictures, song, etc.)
What do you feel might be the result of using this material?
For what age group would you recommend this material?
Is there anything good about this material?
Did you read/listen to the entire material? If not, what parts?
Are you aware of the judgment of this material by media critics?
What do you believe is the theme of this material?
What would you like the library to do about this material?
Signature *
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