NEPN/NSBA Code: IJJ-E
REQUEST FOR RECONSIDERATION OF MSAD #60 LIBRARY RESOURCES
The MSAD #60 Board of Directors has delegated the responsibility for selection and evaluation of library/educational resources to the school library media specialist/curriculum committee, 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 school or library resources, please return the completed form to MSAD #60 Central Office at 100 Noble Way, North Berwick, Maine 03906.
Name: ___________________________ Date:___________________________
Signature: _________________________
Address:_________________________ Town: ___________________________
State:___________________________ Zip:___________________
Phone:___________________________
Do you represent self? ____ Organization? ____
1. Resource on which you are commenting:
____ Book ____ Textbook ____ Video ____ Display ____ Magazine ____ Library Program
____ Audio Recording ____ Newspaper
____ Electronic Information/Network (please specify):_______________________________
Other:__________________________________
Title:________________________________
Author/Producer:__________________________
2. What brought this resource to your attention?
_________________________________________________________________________
3. Have you examined the entire resource?
_________________________________________________________________________
4. What concerns you about the resource? (use other side or additional pages if necessary)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Revised: November 10, 2016