The petition request form can be filled out by any individual who is willing to file a petition.
What is your name?
What is the address you're signing from?
What do you want to change/get better/etc.?
Why do you think the change is necessary?
What kind of a change would be needed for it to happen? (Examples: More funding, more time, etc.)
How did we fail in meeting your needs on this matter? (Explain.)
If there was another way to make this change happen, what would that be?