APPENDIX B
East Lansing Public Library
950 Abbott Road, East Lansing, MI 48823
(517) 351-2420 Fax: (517) 351-9536 www.elpl.org
Statement of Concern about Library Material
We appreciate your concerns and welcome your comments. If you would like a written response, please include your name and address.
- What type of material are you commenting on? (book, magazine, DVD, etc.)
- Please provide the following information on this material:
Title: ______________________________________________________________
Author: ____________________________________________________________
Publication date: ____________________________________________________
Publisher/Producer: __________________________________________________
- How was this material brought to your attention?
- What concerns you about this material?
- Have you read, viewed, or listened to the entire work? If not, what parts?
- What positive or noteworthy characteristics or aspects do you find in this material?
7. Are there any other comments you would like to make?
Name: ___________________________________________________________________
Address: _________________________________________________________________
Phone: ________________________________ Date: _____________________
Do you represent yourself or an organization? If you represent an organization, please include organization name and contact information:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank you for sharing your concerns with us. You will receive a written reply within 10 business days. Please return completed form to:
Director
East Lansing Public Library
950 Abbott Road, East Lansing, MI 48823
