Book Challenge Policy
Answer
REQUEST FOR RECONSIDERATION OF MATERIAL
NAME:
ADDRESS:
PHONE NUMBER(S):
E-MAIL:
If you represent a group, please name it:
INFORMATION ABOUT THE ITEM TO WHICH YOU OBJECT
TITLE:
AUTHOR:
What do you find objectionable about this item? (Please be as specific as possible – cite pages, words in songs, etc.)
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Do you feel this item might have harmful effects?
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If yes, specify
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Did you read/listen to/watch the entire
work?
If no, what part?
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What do you think is the theme, or purpose, of this work?
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Did you find anything good about this item?
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Would you recommend this for a particular age
group?
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Are you aware of any literary or artistic assessments of this
work?
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What would you like the library to do about this item?
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Thank you for filling in this form as thoroughly as possible.
The Chauvin Municipal Library Manager/Board Member will contact you.
Signature of complainant Date:
Personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act, Section 33c
and is used to administer the Reconsideration of Library Materials procedure.
Reviewed/Approved June 7, 2022