Patron Request for Reconsideration of a Work

2. 

4. If you have found materials in the Library about which you have concerns, please complete this form to ensure prompt, complete consideration by Library staff.

   If you have found materials in the Library about which you have concerns, please complete this form to ensure prompt, complete consideration by Library staff.

6. Title*

8. Author*

10. Format*

    1. Book
    2. Compact Disc
    3. DVD
    4. Other

12. First Name*

13. Last Name*

15. BRPL Barcode Number*

16. Are you a resident of the City of Boca Raton?*

    1. Yes
    2. No

18. Address*

20. City*

21. State*

22. Zip Code*

24. Telephone*

25. Email*

27. Representing*

    1. Him/Herself
    2. Organization

28. If other, what?

30. What do you believe is the theme of this work?*

32. What are the specific elements in the work to which you object?*

    Please be specific and cite pages.

34. Did you read, view, or listen to the entire work or a portion of the work?*

    1. All of the Work
    2. Part of the Work

36. How did this material come to your attention?*

38. Have you read BRPL's Collection Development Guidelines?*

    1. Yes
    2. No

    If not, please do so.

40. What do you feel might be the result of reading, viewing, or listening to this material?*

42. Are you aware of the critics' judgment of this item?*

44. In your opinion, is the work suitable for some age groups?*

46. What course of action do you request the Library to take with regard to this work?*

Leave This Blank:


47. Submit

* indicates a required field