June 1, 2014
Mrs. Henrietta Williams
Special Education Coordinator
Camellia School District
123 Main Street Camellia, AL 55555
Dear Mrs. Williams:
I am the parent of Thomas Pickett. He is a student at Camellia Elementary School and is in the 5th grade.
Thomas is having problems with his school work. (Describe your concerns. For example: “Thomas’s math grades are very poor and he hasn’t done well on the standardized tests he’s taken. Also, he has trouble paying attention and can’t seem to follow directions.”)
I would like to have him evaluated to see if he has a disability and whether he needs special education and related services.
Please let me know when the school’s evaluation team will meet to discuss this evaluation request so that I can be in attendance and sign the consent for initial evaluation. I can be reached at 44 Emerson Street, Camellia, AL 55555 or by phone at 205-555-1234.
Thank you for your help. I look forward to hearing from you soon.
Sincerely,
Sally Pickett
cc: Tom Bibb, Camellia Elementary School Principal
Marion Flagg, Camellia School District Superintendent
