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STATEMENT OF CONCERN ABOUT <br /> LIBRARY/MEDIA CENTER RESOURCES <br /> This is where you identify who in your own structure, has authorized use <br /> of this form - Director, Board of Trustees, Board of Education, etc. - <br /> and to whom to return form. <br /> Name Date <br /> Address <br /> City State _ Zip Phone # <br /> 1. Resource on which you are commenting: <br /> Book Audiovisual Resource <br /> Magazine Content of Library Program <br /> Newspaper Other <br /> Title <br /> Author/Producer <br /> 2. What brought this ,title to your attention? <br /> 3. Please comment on the resource as a whole as well as being specific <br /> on those matters which concern you. (Use other side if .needed. ) <br /> Comment: <br /> Optional : <br /> 4. What resource(s) do you suggest to provide additional information on <br /> this topic? <br /> Revised by the ALA Intellectual Freedom Committee, January 12, 1983 <br /> Reprinted with the permission of the American Library Association. <br />