CD+Policy+Reconsideration+Form+LIS+5250

= = =__**Request for Reconsideration**__ =

__Name:__  __Date:__ __Address:__  __City:__ __State:__  __Zip:__ __Phone:__  __Do you represent self?__ __Organization__

Resource on which you are commenting:
 * Book
 * Textbook
 * Video Display
 * Magazine
 * Library Program Audio Recording
 * Newspaper Electronic information/network (please specify)

<span style="color: #ae2a0f; font-family: 'Comic Sans MS',cursive;">Title: <span style="color: #ae2a0f; font-family: 'Comic Sans MS',cursive;">Author:

<span style="color: #ae2a0f; font-family: 'Comic Sans MS',cursive;">1. What brought this resource to your attention?

<span style="color: #ae2a0f; font-family: 'Comic Sans MS',cursive;">2. Have you examined the entire resource?

<span style="color: #ae2a0f; font-family: 'Comic Sans MS',cursive;">3. What concerns you about the resource? Use additional pages if necessary

<span style="color: #ae2a0f; font-family: 'Comic Sans MS',cursive;">4. Are there resources you suggest to provide additional information and/or other viewpoints on this topic?