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505.2.11.2P - Request for Hearing

505.2.11.2P - Request for Hearing

Adopted: January 1978
Revised: January 2013

Download 505.2.11.2P - Request for Hearing

 

REQUEST FOR HEARING

 

 

To:      District 196 Superintendent                   Date:                                                   

          3455 153rd St. W.

          Rosemount, MN  55068

 

From:                                                             Phone:                                                 

Parent or guardian             

 

 

Re:                                                                                                                 

Student’s name                                             School

 

I hereby request a hearing to challenge certain information in my child's educational records.  The specific information challenged is as follows:

 

Description of information challenged    Reason                             Requested amendment

(Identify specific record in question)                     (Accuracy, completeness, etc.)                          

 

1.                                                                                                                              

 

 

2.                                                                                                                              

 

 

3.                                                                                                                              

 

 

4.                                                                                                                              

 

 

5.                                                                                                                              

 

 

 

 

                                                                                                                                 

Date                                                                             Signature of parent, guardian or eligible student