(Date)

Dear (proprietor):

The students in (teacher's) class at (school) are studying a unit on the U.S. political system and the presidential election. As part of their study, the students are conducting an informal poll of the community. The questionnaire they will use is brief (six questions) and no names or other identifying information will be collected. A sample of the questionnaire is attached.

On behalf of the students listed below, I would like to request your permission to allow them to conduct this poll at (location) during a two-hour period on a mutually agreed-upon date. If you need additional information, please contact me at (phone number).

Thank you for your assistance in this project.