Request for Reconsideration of Material Form
Request for Reconsideration of Material Form
The trustees of Sherman Free Library have established a materials selection policy and a procedure for gathering input about particular items. Completion of this form is the first step in that procedure. If you wish to request reconsideration of a resource, please return the completed form to the library director.
Sherman Free Library
20 Church Street
Port Henry, NY 12974
shermanfree@yahoo.com
Date ___________________________________________________________
Name __________________________________________________________
Address ________________________________________________________
City ____________________________ State/Zip _______________________
Phone __________________________ Email __________________________
Do you represent self? ____ Or an organization? ____ Name of Organization ___________________________
1. Resource on which you are commenting:
___ Book (e-book) ___ Movie ___ Magazine ___ Audio Recording
___ Digital Resource ___ Game ___ Newspaper ___ Other
Title ________________________________________________________________________
Author/Producer _______________________________________________________________
2. What brought this resource to your attention?
___________________________________________________________
3. Have you examined the entire resource? If not, what sections did you review?
___________________________________________________________
4. What concerns you about the resource?
___________________________________________________________
5. Are there resource(s) you suggest to provide additional information and/or other viewpoints on this topic?
___________________________________________________________
6. What action are you requesting the committee consider?
___________________________________________________________
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