Request for Reconsideration of Library Materials

Request for Reconsideration of Library Materials
Name *

First NameLast Name
Address*

Street Address

Street Address Line 2

City in Michigan

Zip Code
Daytime Telephone*
Please enter a valid phone number.
Alternate Telephone*
Please enter a valid phone number.
Email Address*
example@example.com
Library Location of Material to be Reconsidered

WhittakerMichigan Ave.SuperiorBookmobile
Call Number of Item (Located on spine of item)
Author*
Title*
Format of Item (please check)

BookVideo/DVDBook on CDMagazineOther
Please answer the following questions about the material:
What do you find objectionable and/or offensive about this item? Please give specific examples.*
Please list the specific page numbers or section of any part that you find objectionable or offensive.
Have you read (or listened to/viewed) the item in its entirety? If not, what pages or sections have you read (or listened to/viewed)?*
Have you read any critical reviews of this item? If yes, please include source.*
Do you recommend that the library:*

Reclassify this itemRemove it from the collection
Do you have a recommendation for an alternative to this item?
By signing this document, I affirm that the above information is true and accurate to the best of my knowledge.

The Ypsilanti District Library thanks you for your interest in the library's collection. You will receive written notification of the decision regarding your request.
Signature (draw with your mobile device or mouse)*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

Request for Reconsideration of Library Materials

Please answer the following questions about the material: