REQUEST FOR RECONSIDERATION

Request for Reconsideration Form

Request for reconsideration of library materials, programs, exhibits, displays. The Executive Director, with other appropriate staff, will review the material, program, exhibit, or display in question. The Executive Director will then make a decision and send a response to the person who requested the reconsideration, stating the reasons for the decision.

"*" indicates required fields

Name*

First Last

Email*

Address*

Street Address City State / Province / Region

You represent:

Yourself

An Organization

Name of organization, if applicable:

What is the title, author, performer, or producer, if applicable?

UntitledI read, listened to, or viewed this material completely.

Yes

Not applicable

I attended the entire program.

Yes

Not applicable

I saw this exhibit or display in person.

Yes

Not applicable

In your view, the topic or theme of the material, program, exhibit, or display is:

Your objection to the material, program, exhibit, or display is:

The material, program, exhibit, or display came to your attention by:

Other materials you recommend to provide additional information or points of view on this topic

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