Markesan Public Library
Name________________________Date_____________
Address______________________Phone___________
City_________________________State______ZIP_______
Resource on which you are commenting:
_____Book
_____Audio-visual Resource
_____Magazine
_____Content of Library Program
_____Newspaper
_____Other
Title:_____________________________
Author/Publisher or Producer/Date:_______
Please answer the following questions, if you need more room you may use the back of this form and/or attach additional sheets.
To what do you object? Please be as specific as possible.
Have you read or listened or viewed the entire content? If not, what parts?
What do you feel the effect of the material might be?
For what age group would you recommend this material?
In its place, what material of equal or better quality would you recommend?
What do you want the library to do with this material?
Additional comments:
Approved 4/15/21