Sample Petition

 

(TITLE OF PETITION)

 

A petition of _______________________________
(NAME OF PETITION SPONSOR)

Addressed to ______________________________
(NAME OF PERSON(S) WHO WILL RECEIVE PETITION)

WE THE UNDERSIGNED WOULD LIKE TO BRING YOUR ATTENTION TO THE FOLLOWING PROBLEM, WITH RECOMMENDATION(S):

 

(STATEMENT OF PETITION GOES HERE)

 

AGREED UPON BY THE FOLLOWING PEOPLE:

NAME ADDRESS/SCHOOL/GROUP TELEPHONE

1. _______________________________________________

2. _______________________________________________

3. _______________________________________________

4. _______________________________________________

5. _______________________________________________

6. _______________________________________________

7. _______________________________________________

8. _______________________________________________

 

Source: Adapted from Barbara A. Lewis, The Kid’s Guide to Social Action (Minneapolis, MN: Free Spirit Press, 1991).