Request for Reconsideration of Library Materials Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
University Affiliation
Student
Faculty
Staff
Other*
*If you answered "other" above, please explain your affiliation with Lindenwood University
Format of disputed item
Book
eBook
Video
Database or Article
Other
Title of disputed material
Author or creator of disputed material
Have you read or viewed the entire work?
What are your specific concerns about this material? (Please describe what you find objectionable and include specific examples or page numbers if possible.)
What action are you requesting?
Retain the material but add contextual note
Relocate to another collection or area
Remove from collection
Other*
*If you answered "other" above, please describe
What do you believe is the main purpose of this work?
Are there materials you would recommend as an alternative or supplement?
Additional comments or context:
Submit
Should be Empty: