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Statement of Concern About Library Materials
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Email
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Your email
Name
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Your answer
Address
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Your answer
Date
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MM
/
DD
/
YYYY
Phone Number
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Your answer
Type of material on which you are commenting:
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Book
Magazine
CD
DVD
Other
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Title: Author/Publisher/Producer and Date:
Your answer
What brought this resource to your attention?
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Your answer
To what do you object? Please be as specific as possible.
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Your answer
Have you read, listened, or viewed the entire content? If not, which parts?
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Your answer
What do you feel the effect of the material might be?
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Your answer
For what age group would you recommend this material?
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Your answer
In its place, what material of equal or better quality would you recommend?
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Your answer
What do you want the Library to do with this material?
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Additional comments:
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