STATEMENT OF CONCERN ABOUT LIBRARY MATERIALS

This form is to be used to express written comments and concerns regarding specific materials in the Western Oregon University Library collections. This form should be printed and submitted to:

Dr. Gary D. Jensen
Director, Library and Media Services
Western Oregon University
345 N Monmouth Ave.
Monmouth, Oregon 97361

 
Name
____________________________________________
Address

____________________________________________
____________________________________________
City
________________ State _______ Zip
________
Telephone
_________________________ Email _________________________
Representing:
Individual ____
Group/Organization
____
 
(please identify)
____________________________
1. Materials on which you are commenting:  
Book
_____
Journal
_____
Newspaper
_____
AV material
_____
 Other
_______________
(please indicate material type)
 
Title
 _______________________________________________________
 
Author/Producer
_______________________________________________________

 

2. What brought this title to your attention?

 

 

 

3. Please comment on the resource as a whole and your specific concerns (use other side if necessary).

 

 

 

OPTIONAL:
4. What resource do you suggest to provide additional information on this topic?

 

 

SIGNATURE
______________________________
DATE
________________