361.2-E, Request for Reconsideration of Library Materials

361.2-EXHIBIT     REQUEST FOR RECONSIDERATION OF LIBRARY MATERIALS

 

Creator / Author ­ ____________________________________    Type of Material  _____________    

 

Title ___________________________________________________________________________

 

Publisher / Producer / Source ________________________________________________________

 

Request Initiated By ___________________________________  Telephone __________________

 

Address ________________________City  ______________________State  _____Zip _________

 

Complainant represents  ____________________________________________________________

 

 

1. In what school is this material located? ______________________________________________

 

2. Did you read, view, listen to, or observe the entire material?  _____________________________

 

3. What do you find objectionable in this material?  Please be specific; cite portions.                 

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4. What do you feel might be the result of exposure to this material?

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5. For what age group would you recommend this material?

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6. What is positive about this material?

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7. What do you believe is the theme or purpose of this material?

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8. What would you like your school to do with this material?

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Signature

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Date

Last Updated: 7/13/09
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