Collection Re-Evaluation Form

Request for Collection Re-Evaluation

Please fill out this form if you have a request for the re-evaluation of an item, or items, currently in the library collection.

"*" indicates required fields

Date

Title of Item Suggested for Re-Evaluation*

Author of Item

(if applicable)

Format of Item*

(e.g. book, DVD, audio book, etc)

Reason for Request*

Why have you requested this title be evaluated for its appropriateness for the library collection?

Feedback

What is your suggestion on how to handle this item?

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

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Name

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