Appendix I: Request for Reconsideration Form

Request for Reconsideration

Book___________ Periodical_________ Other (specify)_________

Title:_________________________________________________________

Author/Producer:_________________________________________________

Request initiated by:__________________________________________

Address:_______________________________________________________

Phone:_________________________

What bought this title to your attention?

Do you represent: Yourself______________

Department ____________

Other groups (please specify)_____________

To what in the work do you object: (be specific, cite pages)

Did you review the entire work? (yes/no)___________

If no, what parts?_______________________________

What do you believe is the theme of this work?

Are you aware of judgments of this work by critics in the field?

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

Signature______________________ Date:________________

The Team Leaders of Andersen Library will review the complaint and take appropriate action as promptly as possible.