Follow the steps to effectively complete the agreement

1. Click the ‘Get Form’ button to access the agreement and open it in your preferred online editor.
2. Fill in the name of the student in the designated field. Ensure that the student’s name matches their legal name.
3. Input the date on which the agreement is being completed, using the format MM/DD/YYYY.
4. Record the date of the incident that prompted this agreement, also in MM/DD/YYYY format.
5. Fill out the date of assessment, which serves to document when this agreement will begin to take effect.
6. Provide a detailed description of the behaviors involved in the incident. This section should accurately reflect the circumstances that led to this agreement.
7. In the section that requires you to write the name(s) of the victim(s), ensure you clearly state the name(s) of the student(s) from whom the alleged perpetrator must remain distant.
8. Specify the arrival and departure times if applicable. If not, mark 'N/A'.
9. Indicate the entrance that the perpetrator must use. If not applicable, write 'N/A'.
10. Fill out any necessary details regarding bus or parking assignments, along with current and new schedules. Attach printouts if required.
11. Document any extracurricular activities the perpetrator is involved in and any additional disciplinary actions that relate to this case.
12. Name the staff member monitoring compliance with this agreement. It is crucial for accountability and tracking.
13. Finally, input the date range during which this agreement is valid, specifying both the start and end dates.
14. Ensure that all parties required to sign—student, parent/guardian, and administrator—do so to formalize the agreement.
15. Once all fields are completed, save your changes. You may also choose to download, print, or share the completed form.

Complete your LA Sample School-Based Stay Away Agreement online today to enhance safety for all students.