Request for (Re)consideration of ESO Materials

 

The library values your opinion. If, after discussing your concerns with the Library Administrator, you would like to formally request that the library take action, you may do so by completing this form. Please return the form to any ESO staff.  

 

Have you read/viewed/listened to the entire work? [ ] Yes [ ] No  

 

Please describe the item in question as fully as you are able:  

Author: ___________________________________________________________ 

Title:______________________________________________________________  

Publisher:___________________________  Date of Publication:______________  

Format (book, DVD, audio CD, etc.):_____________________________________ 

Call number or location in the library:____________________________________ 

 

Please state the action you wish taken on this item:  

[ ] Add it to the library [ ] Shelve it elsewhere [ ] Remove it from the library  

[ ] Other: ______________________  

 

Why? (Use other side or additional pages if necessary.)  

 

 

Please explain how such action would improve the library's service to the community: 

 

 

If requesting removal of the material, do you have recommendations for other materials to use in place of it? 

 

 

 

What do you believe might be the result of reading/viewing/listening to this material?  

 

 

 

How was the material brought to your attention?  

 

 

 

Your Name:  ________________________________________________________ 

Street Address: _____________________________________________________ 

City:_________________ State:_____ Zip Code:________ Phone:_____________  

Signature:________________________________________ Date:_____________  

I am acting as a spokesperson for the following group or association: ______________________________________________________ 

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