File: KECA-E

REQUEST FOR RECONSIDERATION OF A BOOK

AUTHOR                                         Hardbound                     Paperback

TITLE                                            PUBLISHER (if known)

Request initiated by

Telephone                                     Address

Complainant represents him/herself

name of group

1. Please indicate your objections to this book. (Please be specific and cite pages):

2. What do you feel might be the result of reading this book?

3. For what age group would you recommend this book?

4. Did you find anything positive about this book?

5. Did you read the entire book?

6. What do you believe is the theme of this book?

7. In its place, what book of equal quality would you recommend that would convey as valuable a picture of this subject?

8. Please feel free to comment further.

_________________________________________ _______________

(signature)

Agawam Public Schools