Berlin Free Town Library strives to provide all patrons with fair and equal access to library materials, resources, and programs. The Library’s role is to provide opportunities that will allow individuals to freely examine subjects and make their own decisions. The choice of library materials or resources by users is an individual matter. While patrons may reject materials, resources, or programs for themselves, they may not restrict the freedom of access to these things by others.
The Library Board of Trustees and Director of the Berlin Free Town Library recognize that some patrons may take offense to the inclusion of specific items, programs or practices and they may wish to express their concerns. The trustees of Berlin Free Town Library have established a materials selection policy and a procedure for gathering input about particular items. If your discussion with members of the library staff has not alleviated your concern, completion of this request form is the next step in that procedure. Submit this form in person to library staff. After submitting the form, we encourage you to also make an appointment to speak with Library Director Sara Rogers, by contacting her at [email protected].
Date__________________________________________________________________
Name_________________________________________________________________
Do you represent self? ___ Or an organization? ___
Name of Organization ____________________________________________________
Address_______________________________________________________________
City ______________________________________ State/Zip_______________________________
Phone __________________________
Email _________________________________________
Resource you are concerned with:
___ Book or e-book ___ Movie ___ Magazine ___ Audio Recording
___ Digital Resource ___ Game ___ Newspaper ___ Display/Exhibit
___ Library Program ___ Other (please specify):____________________________________
Title of Item __________________________________________________________________
Author/Producer of item
__________________________________________________________________
If Display/Exhibit or Library Program, please list:
Title_____________________________________________________________
Date____________________________________________________________
Time____________________________________________________________
Location_________________________________________________________
1. What brought this resource to your attention?
2. Have you examined the entire resource or did you attend the event?
____ Yes ____ No
3. What concerns you about the resource(s)? Please be as specific as possible:
4. Are there resource(s) you suggest to provide additional information and/or other viewpoints on this topic?
5. What action are you requesting the committee consider?
______________________________________________________________________________
Signature_____________________
Date__________________________
Date Received ____________________
Date Reviewed by BFTL’s BoT____________