The Board of Trustees of the Kinderhook Memorial Library has delegated the responsibility for selection and evaluation of library resources to the Library Director, and has established reconsideration procedures to address concerns about those resources.Completion of this form is the first step in those procedures.
If you wish to request reconsideration of library resources, please return the completed form to Library Director, Kinderhook Memorial Library, P. O. Box 293, Kinderhook, New York 12106.
Date _____________________________
Name ____________________________________________________________
Address __________________________________________________________
City _______________________ State ___ Zip __________ Phone __________
Which of the following do you represent?
Self Organization____________________
Resource on which you are commenting:
- Book
- Audio
- Video/DVD
- Magazine
- Library Program
- Newspaper
- Electronic
- Other (please specify)___________________________
Have you examined (read/heard/seen) the material in its entirety? Yes No
Author _______________________________________________________
Title _________________________________________________________
Publisher/Producer _____________________________________________
What brought this resource to your attention?
_____________________________________________________________
Is your objection to this material based upon your personal exposure to it, upon reports you
have heard, or both?
_____________________________________________________________
What concerns you about the resource? Please cite specific passages, pages, etc. (use
other side or additional pages if necessary) Are there resource(s) you suggest to provide
additional information and/or other viewpoints on this topic? Attach more pages, if
necessary.
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