ADL – Request for Reconsideration of Library Resources

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Approved: 12-01

Request for Reconsideration of Library Resources

Request initiated by_______________________________________________

Phone__________________

 Address__________________________________________

_______________________ Zip ____________
(City, State) 

Resource on which you are commenting:

______ Book

______ Film

_____Other

____________________
(Please identify)

______                              Magazine

  ______ Audio  Recording

 _____ Newspaper

______ Library  Program

______ Electronic Information/Database (please specify)

___________________________________________________________

 What brought this resource to your attention? _______________________________________________________________

________________________________________________
Title

 ________________________________________________
Author/Producer

 _________________________________________________________________

Did you read (listen to, watch) the entire resource? _____ If not, what parts?___________________________________________________________________________________________

____________________________________________________________________________________________

What do you believe is the subject of this resource?_________________________

________________________________________________
(Please describe)

____________________________________________

What concerns you about this resource? _________________________________

________________________________________________

________________________________________________

________________________________________________

____________________________________________

Are there resource(s) you would like to suggest to provide additional information and/or other viewpoints on this topic?_____________________________________

________________________________________________

_____________________________________________

What are your recommendations concerning this resource? _____________________

________________________________________________

____________________________________________

Signature _________________________________________

Date _________

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