STATEMENT OF CONCERN
ABOUT BARRETT MEMORIAL LIBRARY MATERIALS
Name ____________________________ Date_____________
Address __________________________ Phone_________________
City ______________________________State ______ ZIP_______
Resource on which you are commenting:
_____ Book _____ Audio-visual Resource
_____ Magazine _____ Content of Library Program
_____ Newspaper _____ Other
Author/Publisher or Producer/Date: ______________________________
What brought this resource to your attention?
To what do you object? Please be as specific as possible.
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Have you read or listened or viewed the entire content? If not, what parts have you read, listened to or viewed?
Explain how the material fails to meet Intellectual Freedom standards.
What do you feel the effect of the material might be? Who would be negatively impacted by this material and how? Please provide citations and evidence.
For what age group would you recommend this material?
In its place, what material of equal or better quality would you recommend? Please include titles and professional reviews of replacement.
What do you want the library to do with this material?
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