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Exhibit 1, Citizen's Request for Reconsideration of an Item


Citizen’s Request for Reconsideration on an Item



Request initiated by:_______________________________________________________


Telephone: __________________Address: ________________________City:_________


Complainant Represents: ______________________________________________(Self)


(Name of Organization)____________________________________________________


(Identify other Group)_____________________________________________________


To what do you object?____________________________________________________


What do you feel might be the result of using the item?__________________________



For what age would you recommend this item?_________________________________


Did you review the entire item?______________________________________________


Are you aware of the judgment of this item by literary critics?_____________________


What do you believe is the theme of this item?__________________________________


What would you like your Library to do about this item?_________________________

What item of equal quality would you recommend be substituted in its place?________

Signature of complainant: ___________________________________Date: __________

Exhibit 1

This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.