Dear ___________________________ (chairperson of CSE)
_______________________________ School District
I would like my child _______________ (insert child’s name) to the Committee on Special Education. My child’s birth date is _____________ (insert birth date). I am concerned that my child __________________________________________________________________ (insert reasoning for wanting special education).
I understand that someone from CSE will be contacting me to explain the Program. The best time to reach me is on __________ (insert date) and _____________ (time of day).
___________________ Parent(s) Name
___________________ Parent Address
___________________ Parent Contact Phone number
___________________ Parent Contact email