Write a paragraph here identifying who in your library is authorized to use this form – director, board of trustees – and to whom to return the form.
Include the following elements:
Complete Mailing Address
Do you represent yourself? An organization?
1. Type of resource on which you are commenting: Book, Textbook, Video, Display, Magazine, Library Program, Audio Recording, Newspaper, Electronic Information, Other.
Title of resource:
2. What brought this resource to your attention?
3. Have you examined the entire resource?
4. What concerns you about the resource? (Use other side or additional pages if necessary.)
5. Are there resource(s) you suggest to provide additional information and/or other viewpoints on this topic?
Based on a form revised by the ALA Intellectual Freedom Committee, June 27, 1995, the latest version as of 2008.