_________ Public Library
STATEMENT OF CONCERN ABOUT LIBRARY RESOURCES
Name________________________Date_____________
Address______________________Phone___________
City_________________________State______ZIP_______
Resource on which you are commenting:
| _____Book | _____Audio-visual Resource |
| _____Magazine | _____Content of Library Program |
| _____Newspaper | _____Other |
Title:_________________________________________
Author/Publisher or Producer/Date:___________________
- What brought this resource to your attention?
- To what do you object? Please be as specific as possible.
- Have you read or listened or viewed the entire content? If not, what parts?
- What do you feel the effect of the material might be?
- For what age group would you recommend this material?
- In its place, what material of equal or better quality would you recommend?
- What do you want the library to do with this material?
- Additional comments: