Date Required Americas/Chicago Name Required Address City, State, and Zip Code Phone Number Do you represent yourself or an organization? Required ** NoneYourself Resource you are commenting on: Required Book Textbook Video Display Magazine Library Program Audio Recording Newspaper Electronic Information Other Title and Author/Producer Required What brought this resource to your attention? Required Have you examined the entire resource? Required What concerns you about this resource? Required Are there resource(s) you suggest to provide additional information and/or viewpoints on this topic? Required Submit This document is modeled after the document Revised by the American Library Association Intellectual Freedom Committee June 27, 1995.