JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request for Title Review
Please fill out and submit the form below. the Library's staff will review your submission.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Full Name
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Library card number or address of residence (showing patron is a Springville City resident or has purchased a membership at the Springville Public Library)
*
Your answer
Title of Item
*
Your answer
Author of the Item
*
Your answer
Have you read the title in its entirety?
*
Yes
No
Required
What do you suggest the Library do with this title?
*
Your answer
Why should the Library take the action you suggest?
*
Your answer
Please note the page numbers (for a print title) or identify parts (for a non-print title) which you feel support the action you suggest
*
Your answer
What do you believe is the overall theme of this title?
*
Your answer
Are you representing yourself or a group?
*
Myself
Group
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
