_________________________, 20___ (Date of Letter) ______________________________ (School Counselor) ______________________________ (School Name) ______________________________ (Street Address) ______________________________ (City, State and Zip Code) RE: Request for Hearing/Student Attn: School Counselor Dear School Counselor: Recently a dispute has arisen relative to ________________________________ ________________(specify matter in dispute) regarding __________________________ ________________ (name of student). Because of the circumstances surrounding this matter, a hearing is respectfully requested, wherein, it would be appreciated if the following individuals would be present: _________________________________ ________________________________________________________________________________ _____________________________________ (names of individuals to be present at student hearing). In advance of the hearing, kindly provide the undersigned with your rules and procedures relative to student matters, such as the matter identified above. Please provide that information to the undersigned at the earliest possible date. Thank you. Very truly yours, ______________________________ (Signature) ______________________________ (Address) ______________________________ (City, State and Zip Code) ______________________________ (Phone Number) LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006 This is not a substitute for legal advice. An attorney must be consulted.