REQUEST FOR RECONSIDERATION

 
Title________________________________________________________________________

               Book________    Periodical________    Other________ 

Author_______________________________________________________________________

Publisher____________________________________________________________________

Request initiated by_________________________________________________________

     Address_________________________________________________________________

     City ______________________________________State_______ Zip_____________

     Telephone______________________________   ______________________________

Request made on behalf of  _____ Yourself

                           _____ An organization (name)______________________

                           _____ Other group (name)__________________________

1. Did you read/view the entire work?________________________________________

_____________________________________________________________________________ 

2. What is your objection? Please be specific. Cite pages.___________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

3. What is positive about the work?__________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

4. What do you feel might be the result of reading/viewing the material?

_____________________________________________________________________________

_____________________________________________________________________________

5. For what library patrons would you recommend this work?___________________

_____________________________________________________________________________

_____________________________________________________________________________

6. What do you believe is the theme of this work?____________________________

_____________________________________________________________________________

_____________________________________________________________________________

7. What resource(s) do you suggest to provide additional information on this topic?
_____________________________________________________________________________

_____________________________________________________________________________

8. Action requested:

   ____Return it to the staff selection committee/department for reevaluation

   ____ Other. Explain.______________________________________________________

   __________________________________________________________________________

   __________________________________________________________________________

9. In its place, what work would you recommend that would convey as valuable
   a perspective of the subject treated?

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


                                              _______________________________
                                              SIGNATURE

Texas Library Association
Intellectual Freedom Handbook

Feel free to copy