The trustees of the Sally Ploof Hunter Memorial Library have established a materials selection policy and a procedure for gathering input about particular items. Completion of this form is the first step in that procedure. If you wish to request reconsideration of a resource, please return the completed form to the library director or email to blrlib@ncls.org.
Sally Ploof Hunter Memorial Library
101 Public Works Drive
PO Box 253
Black River, New York 13612
Date: _______________________
Name: ______________________
Address: __________________________________________
City, State, Zip: _____________________________________
Phone Number: ________________
Email: ____________________________________________
Do you represent self? ____ Or an organization?
Name of Organization: ________________________________
1. Resource on which you are commenting:
___ Book (e-book)
___ Movie
___ Magazine
___ Audio Recording
___ Digital Resource
___ Game
___ Newspaper
___ Other: _________________________
Title: _____________________________________________________________
1. Author/Producer: ______________________________________________________________
2. What brought this resource to your attention?______________________________________________________________
3. Have you examined the entire resource? If not, what sections did you review?
______________________________________________________________
4. What concerns you about the resource?
______________________________________________________________
5. Are there resource(s) you suggest to provide additional information and/or other viewpoints on this topic?
______________________________________________________________
6.What action are you requesting the committee consider?
______________________________________________________________
Requestor Signature: ________________________
Board approved 10/24/2018
