Learning Support Request Form

Use this free parent template to ask a school for a meeting, assessment discussion or additional learning support. You can type directly into the form and print or save it as a PDF. The editable CSV is suitable for spreadsheet applications.

Important: This is a general communication template, not an official statutory referral or application. Formal assessment requests, consent and timelines vary by jurisdiction. Do not submit sensitive learner information through public websites.

Download editable CSV

1. Student and contact details

Student name or initialsSchool / year groupParent / carer contact detailsDate

2. Strengths and concerns

What does the learner enjoy and do well?What difficulties affect learning, communication, wellbeing, access or participation?When do these difficulties occur? Give examples.

3. Support already tried

Teaching adjustments, strategies or services triedWhat helped? What has not worked yet?Relevant evidence or reports (list only; share securely)

4. What I am requesting

Meeting with teacher / school support coordinator Review of current support and adjustments Discussion of whether further assessment or referral is appropriate Written support plan, goals and review date Information about local statutory procedures and parent rights

Specific questions or requested actions

5. Follow-up record

Person contacted / roleDate sentSchool response / agreed actionResponsible person and due dateReview meeting date

Suggested accompanying message

“I would like to discuss my child's learning and participation needs and the support currently available. Please let me know who I should meet, what information would be helpful, and the next steps for reviewing support or considering an assessment. I would appreciate a written summary of any agreed actions and review date.”

Find jurisdiction-specific guidance in the free resource library. This template does not replace official forms where required.