Complainant Represents:

Have you read, viewed or heard the ENTIRE work?

Yes  No

Have you been able to discuss this work with the librarian who recommended or ordered it?

Yes  No

Please describe the nature of your objection to this material (be specific: cite pages, scenes, etc.).

What do you feel might be the result of using this material?

What do you understand to be the general purpose for using this work?

a. Providing support for College curriculum and programs: Yes No

b. Providing an opportunity to widen the users' thinking or enrich their lives : Yes No

c. Providing fulfillment of recreational needs: Yes No

d. Providing support and development of the teaching methods of the faculty: Yes No

Did the general purpose of the material, as described by the librarian, seem a suitable one to you?

Yes   No

What do you think is the general purpose of the author/creator of this material?

Are you aware of the professional critical judgement of this material?

Yes  No  

Would you like the librarian to give you copies of the written professional reviews about this material?

Yes  No  

Do you have negative reviews of the material?

Yes  No

If so, where were they published?

Would you be willing to provide copies of the reviews you have collected?

Yes   No

What would you like the Library to do about the material?

If you are of the opinion that it should not be available, what material would you recommend that would convey as valuable a picture and perspective of the subject treated?