Training, Education, and Mediation for Students

Date _____________

Student’s Name: ________________________________

Date of Birth:___________________________________

School: ________________________________________

Dear School Staff:

I am the parent of _____________________________. I have concerns about my child’s education. I am requesting that an _____IEP _____SBLC _____504 meeting be held as soon as possible.

Thank you for your help. I look forward to hearing from you in writing within ten school days of the date you receive this letter so we can arrange a time for the meeting. Sincerely,

Guardian’s signature: __________________________________________________

Address: ____________________________________________________________

Phone number: _______________________________________________________

Cc: T.E.A.M.S. Court Appointed Education Probation Officers

1545 Line Ave. Ste. 228, Shreveport, LA 71101

Phone: 318-703-4315 Fax: 1-888-405-1195