Appendix B: Learning Resource Materials Comment Form

Lord Fairfax Community College has delegated the responsibility for selection and evaluation of library resources to the Director of the Learning Resource Center. Reconsideration procedures have been established to address concerns about those resources. If you wish to request reconsideration of library resources, please return the completed form to the Learning Resource Center Director, Lord Fairfax Community College, 173 Skirmisher Lane, Middletown, VA 22645.

Name ___________________________
Date ___________________________
Address ___________________________
City ___________________________
State ___________________________
Zip ___________________________
Phone ___________________________
Do you represent self? ____ Organization? ____

• Resource on which you are commenting:

____ Book ____ Video ____ Display
____ Magazine ____ Audio Recording
____ Newspaper ____ Electronic information/network (please specify)
____ Other ___________________________
Title ___________________________
Author/Producer ___________________________

• What brought this resource to your attention?
• Have you examined the entire resource?
• What concerns you about the resource? (use other side or additional pages if necessary)
• Are there resource(s) you suggest to provide additional information and/or other viewpoints on this topic?

Revised by the American Library Association Intellectual Freedom Committee
June 27, 1995