(School Letterhead)

(Date)

10-Day Suspension and Expulsion Request by Principal

Name of Parent/Guardian
Street Address
City, State, Zip

Re: Anthony Refulle

Dear (Name of Parent/Guardian):

On (date), your son, Anthony Refulle was involved in a serious incident (assaulting
a security officer which is on duty as). As a result of his involvement in this incident, I
am suspending Anthony Refulle for a period of 10 days, effective February 13-23,
2017, and requesting expulsion from Agro Industrial Foundation College of the
Philippines.

I (or designee) met with (name of student), informed (him/her) of the

charges/allegations against (him/her) and allowed (him/her) to tell (his/her) side of
the story prior to taking this action. I (or designee) spoke to you by telephone on
(date of contact) and notified you of this decision. By copy of this letter, I am
requesting that the superintendent of schools authorize a conference to be held at
the Student Services Appeals Unit, by Dr. Jevoner L. Adams, supervisor, or her unit
staff, based on my recommendation. Staff at the Student Services Appeals Unit will
contact you with notification of the time and date of this investigative conference.
During the time (name of student) is on suspension (he/she will not be permitted on
the property of Montgomery County Public Schools and may not participate in or
attend any school activities unless permission has been granted by an administrator.
However, (name of student) will be permitted, to the extent possible, to make up
academic work missed.

In accordance with the regulations of the Montgomery County Public Schools, you
may appeal this decision by contacting Dr. Jevoner L. Adams, supervisor, Student
Services Appeal Unit, 451 Hungerford Drive, Suite 508, Rockville, Maryland 20850 in
writing within 10 days of the date of this letter.

Sincerely,

(Principal's name)
Principal

(reference initials) Copy to: Dr. Adams, Supervisor, Student Services Appeals Unit
(Name), Pupil Personnel Worker