Charlevoix Public Library
Citizen's Request for Reconsideration of Library Materials

Requested by:

Name Date

Address Zip

Telephone

Representing:
Self
Organization - Name of Organization:

Book to be reconsidered:

Author:

Title:

How was the item brought to your attention?

Do you know what the literary critics and reviewers think of this item? Yes No

Have you read/viewed/listened to the entire item? Yes No

What, in your opinion, is the theme of the item:

What is your objection to the item? (please cite pages)

In what section is the item housed? Adult Teen Juvenile

What do you feel might be the result of reading/viewing/listening the item?

What are your recommendations about the item?

Signature of Requestor

Name of Staff Member receiving completed form
Date

Thank you for your interest in the Library's collection. Although careful consideration is given all materials before purchase, we are always willing to re-evaluate them. You will be notified of the outcome of this reconsideration.