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?

___________________________________________________________