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Request for Reconsideration Form
Today’s Date
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Type of Work/Resource. Select all that apply,
Book
Audiobook
DVD
CD
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Title of Work. Please tell us the title or describe the work resource.
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Author/Performer. Please reference the author/performer in question.
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What brought the work/resource to your attention? Please describe.
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Please comment on the work/resource as a whole. What are your specific concerns about the work? Please provide as many details as possible.
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What action would you like the Library to take? Please describe and let us know why.
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Are there resource(s) you would recommend to provide additional information and/or other viewpoints on this topic? Please describe.
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Your Name and/or Organization
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Address
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Phone number
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Who do you represent?
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