REQUEST FOR RECONSIDERATION OF LIBRARY RESOURCE FORM
AUTHOR: _________________________________________________
TITLE: ____________________________________________________
FORMAT: __________________ PUBLISHER: ___________________
PUBLICATION DATE: _______________
Request initiated by: ____________________________________________
Address: ___________________________________ City: ______________
Zip Code: ________________ Phone: __________________________
Is this request made on behalf of?
_____ Yourself
_____ Relative ___________________________________________
[Relationship to]
_____ Organization ________________________________________ [Name of Organization]
Have you read/ viewed this title in its entirety? __________
What is your objection to the resource? [Please be specific; i.e. cite pages.]
______________________________________________________________________________
Is there anything positive about the resource? _________________________________________
Please state the reason for your request ______________________________________________
______________________________________________________________________________
Action Requested: ______________________________________________________________
______________________________________________________________________________
Have you read the Effingham Community Library Resources Selection Policy? _________________
Page 1
Are you aware of the judgment of this resource by literary critics or area subject specialist? [Please provide names of reviewers and citations for reviews, if known.]
Can you recommend resourced of comparable literary quality or another title that would convey the same perspective of the subject treated? _______________________________________________
Date: __________________ Signature of Patron: ______________________________________
Date: __________________ Received by Staff Member: ________________________________
Decision of Director:
Keep book on shelf___
Remove book from shelf____
Move book to another part of the library___
If you do not agree with this decision you may request that the Library Board takes a look at the book. Their decision will be final.
Please be aware that no book shall be removed from the shelves until a decision has been made.
Effingham Community Library. Collection Development and Resource Access Plan for the Effingham Community Library:
June 2014
DONATED LIBRARY MATERIAL FORM
We have accepted the following number of titles at the Effingham Community Library:
Value asked by the Donor:
$___________________
Name of Person receiving:
Date:
Library Stamp
Material donated to the Effingham Community Library will become property of the library to be used or sold as the library sees fit.