Get Stay Away Agreement

Filling out the Stay Away Agreement is an important step in ensuring safety for students affected by bullying, sexual harassment, or dating violence. This guide will provide you with a clear and comprehensive overview of how to complete the form online.

Follow the steps to fill out the Stay Away Agreement online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Fill in the name of the student who is the subject of this agreement in the provided space.
3. Enter the date of the most serious incident that prompted this agreement.
4. In the section labeled 'Description of behaviors involved in incident', provide a detailed description of the behaviors that occurred.
5. Complete the date of assessment, indicating when the evaluation took place.
6. Write the date when the parent or guardian was notified regarding the situation.
7. Document the name of the victim from whom the individual must stay away in the designated area.
8. Fill out the arrival and departure times and specify the entrance they will use.
9. Indicate the bus or parking arrangements to prevent contact with the victim.
10. Outline the current schedule to highlight the individual's existing commitments.
11. Provide the new schedule that the individual will follow to ensure compliance with the agreement.
12. Fill out additional sections including lunch arrangements, locker location, and any extracurricular activities.
13. List any other disciplinary actions that may apply.
14. Acknowledge the monitoring staff member by writing their name and title.
15. Fill in the validity period of the agreement with the start and end dates.
16. Indicate the date when the agreement will be reviewed.
17. Finally, ensure signatures are collected from the student, parent/guardian, and administrator along with their respective dates.

Complete your Stay Away Agreement online today to ensure a safe and supportive school environment.