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SAMPLE SCHOOL BASED STAY AWAY AGREEMENT Louisiana Believes Form
Taken seriously and will result in further school disciplinary or legal actions Your compliance will be monitored by name and staff title. Agreement is valid from date to date. Student Date Parent/Guardian Date Administrator Date July 2012. Louisiana Department of Education Office of Student Programs October 2012 SAMPLE SCHOOL-BASED STAY AWAY AGREEMENT This agreement is designed to increase safety for students who have been the victim bullying. Name of Student Date Date of the incident Date of...
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