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LA Sample School-Based Stay Away Agreement 2012-2026 free printable template

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Louisiana Department of Education Office of Student Programs October 2012 SAMPLE SCHOOLED STAY AWAY AGREEMENT This agreement is designed to increase safety for students who have been the victim bullying.
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How to fill out LA Sample School-Based Stay Away Agreement

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How to fill out LA Sample School-Based Stay Away Agreement

01
Obtain the LA Sample School-Based Stay Away Agreement form from the school's administration office or website.
02
Read through the entire document carefully to understand the terms and conditions.
03
Fill in the student's name, date of birth, and other required personal information at the top of the form.
04
Clearly state the reasons for the implementation of the stay-away agreement, ensuring you include any relevant incidents or circumstances.
05
Specify the locations or individuals from which the student is required to stay away.
06
Discuss and document the length of time the agreement will be in effect.
07
Include any support services that will be provided to the student during the duration of the agreement.
08
Have the appropriate school officials review and sign the form, which may include school administrators or counselors.
09
Ensure the student and their guardian review the agreement, sign, and date it.

Who needs LA Sample School-Based Stay Away Agreement?

01
Students who have faced disciplinary issues or safety concerns that necessitate a temporary separation from certain individuals or areas within the school.
02
Parents or guardians of students who need to formally acknowledge and understand the terms of the stay away agreement.
03
School administrators and counselors who are responsible for ensuring student safety and adherence to school policies.
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The LA Sample School-Based Stay Away Agreement is a formal document that outlines the terms and conditions for an individual to remain away from a specific school or school-related activities. It is typically used in cases involving disciplinary actions or safety concerns.
The LA Sample School-Based Stay Away Agreement must be filed by school officials, such as administrators or counselors, in cases where it is deemed necessary to protect the safety and well-being of students and staff.
To fill out the LA Sample School-Based Stay Away Agreement, one should include relevant details such as the name of the individual subject to the agreement, the specific school or locations from which they are to stay away, the duration of the agreement, and any conditions that must be followed.
The purpose of the LA Sample School-Based Stay Away Agreement is to maintain a safe and conducive learning environment by preventing certain individuals from entering school premises or participating in school activities, thereby addressing safety concerns or behavioral issues.
The information that must be reported on the LA Sample School-Based Stay Away Agreement includes the individual's personal details, the specific locations to be avoided, the duration of the stay away, and any special conditions or guidelines for compliance.
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