Request for Reconsideration of Library Material

Name ____________________________________________

Address ____________________________________________

Telephone ____________________________________________

Type of material ____________________________________________

Title ____________________________________________

Author ____________________________________________

State specific objections. (Please cite pages or portions) ____________________________________________

State any merits noted in the material ____________________________________________

What do you believe might result from using this material? ____________________________________________

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

Have you reviewed the entire material? ____________________________________________

Have you reviewed other material by this person? ____________________________________________

If yes, please list the material ____________________________________________

What material dealing with same subject would you recommend as replacement? ____________________________________________

Date ____________________________________________ Signature ____________________________________________