Request for Reconsideration of a Title - Form

OAK PARK PUBLIC LIBRARY

Request for Reconsideration of a Title - Form

Name                                                                                                                                                                                                   

Address                                                                                    Telephone                                                                                       

Title to be reconsidered                                                                                                                                                                  

Author                                                                                                                                                                                                 

Publisher                                                                                 Publication date                                                                           

Action requested                                                                                                                                                                              

This request made on behalf of:                       Myself                   an Organization

              Name of organization                                                                                                        

Have you read, viewed, or listened to this title in its entirety                                                                                             

Have you seen a review of this title?                                                                                                                                          

If so, where was the review?                                                                                                                                                         

Have you read the Oak Park Public Library Policy on Collection Management and Selection of Library Materials?                                                                                                                     

Please state the reason for your request                                                                                                                                    

Signature                              

Date