PCC Library Services
Reconsideration of Library Materials

Please print this form, fill it out and return it to circulation or reference desk,
or mail to the address at the bottom of this form.

The PCC Libraries values your opinion. If you have an objection to library materials, please complete this form, indicating as clearly and legibly as possible the nature of your concern. A librarian will contact you in the near future to discuss the problem.

YOUR NAME __________________________________________________________________

ADDRESS ____________________________________________________________________

CITY ________________________________ STATE __________ ZIP __________

PHONE _________________ E-MAIL ____________________________________

LIBRARY MATERIAL[S] CONCERNED:

_____  Book _____  Video
_____  Magazine _____  Other Audiovisual Material
_____  Newspaper _____  Other


TITLE _____________________________________________________________________

AUTHOR OR PRODUCER ____________________________________________________

WHAT BROUGHT THIS TITLE TO YOUR ATTENTION?

__________________________________________________________________________

__________________________________________________________________________

PLEASE COMMENT ON THE TITLE AS A WHOLE AS WELL AS BEING SPECIFIC ABOUT
THOSE MATTERS THAT CONCERN YOU. (Use other side of this form if necessary)
__________________________________________________________________________

__________________________________________________________________________

WHAT OTHER MATERIALS DO YOU SUGGEST TO PROVIDE ADDITIONAL INFORMATION
ON THIS SUBJECT?
__________________________________________________________________________

__________________________________________________________________________

YOUR SIGNATURE _________________________________ DATE ___________________

James W. Dowdy Memorial Library 
Polk Community College
999 Avenue H, N.E.
Winter Haven, Florida 33881
Phone (863)297-1040   
Fax (863)297-1065     
http://www.polk.edu

Return to Library Services and Policies

created by Ivy Prewitt
last updated 07/12/2007

Polk Community College
999 Ave H NE
Winter Haven, Florida