Reconsider Material Request

Have you reviewed the American Library Association's Freedom to Read & Freedom to View statements as well as the Library Bill of Rights?

Type of Work / Resource (Check all that apply)

Book

DVD

Audio Book

Magazine / Newspaper

Title of Work (please tell us the title or describe the work / resource).(Required)

Author / Performer (please reference the author or performer in question).(Required)

Please comment on the work/resource as a whole. What are your specific concerns about the work? (please include how much of the resource you have examined. Be specific in your concerns. Include page number, run time, lyric etc.)

What action would you wish the library to take? (please describe and lut us know why).(Required)

Name

First Last

Organization (if applicable)

Address

Street number and Name City State / Province / Region Postal / ZIP Code

Phone

Library Account Number(Required)

Who do you represent?(Required)

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