Request for Reconsideration of Library Materials

2. Title:

4. Request initiated by:

5. Date:

7. Telephone:

8. Email:

9. Address:

11. Did you read/view/listen to the entire work?

13. To what do you object? (Please be specific; cite pages.)

15. What do you feel might be the result of using this material?

17. Note: You will receive a written response from the library director.

    Note: You will receive a written response from the library director.

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19. 1. Receive an email copy of this form.
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