CITIZEN’S REQUEST FOR RECONSIDERATION OF A BOOK

Author:

Is the book hardcover or Paperback:

Title:

Publisher (If known):

Request initiated by:

Telephone :                       

Address:

Complainant represents:

Himself:

An Organization (Name of organization) :

Please respond to the following questions about the book:

1. To what in the book to you object?  (Please specify; site pages)

2. What do you feel might be the result of reading this book?

3. For what age group would you recommend this book?

4. Is there anything good about this book?

5. Did you read the entire book? 

6. Are you aware of the judgment of this book by literary critics?

7. What do you believe is the theme of this book?

8. What would you like your school to do about this book?

(Do not assign it to my child; Withdraw it from all students as well as from my child; or send it back to the District Librarian for re-evaluation.)

9. In its place, what book of equal literary quality would you recommend that would convey as valuable a picture and perspective of our civilization?

Please sign and date your Complaint and submit it to the principal of the school where the book is currently held.

Sign ______________________________          Date _______________________