Sample Letter For Requesting Special Needs Test

NOTE: This letter must be on official letterhead from the school, facility, or professional’s office

(LETTERHEAD)

Current Date

Nurse Aide Testing
SIUC Mail Code 4340
Southern Illinois University
Carbondale, IL  62901-4340

Dear Test Coordinator,

Because of a (state documented disability/special need), I wish to request that a special needs exam be provided for the students listed below which will provide (state special testing conditions requested).  He/she is eligible to take the exam and wishes to be tested on (state desired test date).

Name                                                  Social Security Number

I have enclosed the student’s application form, exam fee, Illinois State Police  criminal background report and the verification of their learning disability in the form of an (IEP, letter from special needs professional, medical document, etc.) which explains the condition which prevents the above named candidate from taking a written exam.  Please contact (contact person’s name) regarding this special needs request at (contact phone#, fax #, or e-mail address) if you require additional information.

Sincerely yours,

(Requestor’s Name)
(Requestor’s Title)