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APPENDIX
A. AGE AFFIDAVIT GUIDELINES
Permission requirements are established by MSSD for students
who have reached the Age of Majority (18 years). Parental/ guardian
permission is required for students under the Age of Majority.
ISSUE |
BOTH |
STUDENT |
ADMINISTRATIVE |
Application/Admittance/Withdrawal |
X |
|
IEP assessment (unless transfer of rights
has occurred) |
X |
|
Release of Private Data |
X |
|
Financial Responsibility |
X |
|
All School Correspondence |
X |
|
Report Cards |
X |
|
Deficient Work |
X |
|
Conferences |
X |
|
Review of Schools Records |
X |
|
Religious Education |
X |
|
Emergency Loans (for ticket home) |
X |
|
Social Security Number |
|
X |
HEALTH |
OT/PT Services |
X |
|
Health Agreement Form |
X |
|
Student Accident Insurance |
X |
|
Doctor appointments may be made by student
(however, student must inform clinic, dorm, school,
and parents prior to the appointment) |
|
X |
Outside Therapy |
X |
|
Admission to a Hospital |
X |
|
MENTAL HEALTH |
Psychiatric and Psychological Evaluation |
X |
|
Drug Counseling (outside agency) |
X |
|
Rape Crisis Therapy |
X |
|
SCHOOL & RESIDENCE
LIVING |
Excused Absences |
X |
|
Disciplinary Action |
X |
|
Leave Campus |
x |
|
Off-Campus Permission (list of individuals
student may leave with) |
X |
|
Leaving Campus by Vehicle |
X |
|
Leaving Campus during the School Day (or
week) |
X |
|
Weekends – (only with invitation
from destination parents or guardians) |
X |
|
Off-Campus Work and On-Campus Work |
|
X |
School Organized Field Trips |
|
X |
Activity Permission (On-Campus), i.e.,
sports including intramurals, academic bowl, peer mediator, etc |
|
X |
Activity Permission (Off-Campus), i.e.,
camping trip |
|
X |
Sex Education Classes |
X |
|
School Sponsored Publicity Photos |
|
X |
Transition Option |
|
X |
Senior Research Project |
|
X |
High School League Sports |
|
X |
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B. LEVEL III – CODE OF CONDUCT
VIOLATIONS
Major
Violation Code |
Definition |
Consequence |
1. Assault
- Physical
|
A. Physical attack on any person. |
A. 1st offense – 5 days in ESSP
2nd offense- 10 days in ESSP
3rd offense – Level IV |
- Sexual Misconduct
|
B. Sexual harassment, inappropriate conduct with sexual intent and without consent. |
B. 1st offense – 10
days in ESSP
2nd offense – Level IV |
2. Sexual Acts |
Sexual acts committed with mutual consent of both parties. |
1st offense – 5 days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
3. Drug/Alcohol |
Use, possession, and accessory:
The possession of or use of any alcohol, controlled substance,
and paraphernalia. |
1st offense – 5
days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
4. Tobacco Use |
Use, possession, and accessory: The possession or use of any tobacco product. |
1st offense- 3 days in ESSP
2nd offense – 5 days in ESSP
3rd offense – 10 days in ESSP |
5. Fire Safety |
Tampering, misuse of any
fire and other safety equipment, and accessory. |
1st offense – 10
days in ESSP
2nd offense – Level IV |
6. Fireworks
- Possession
|
A. Possession of fireworks. |
A. 1st offense – 5
days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
- Detonation
|
B. Detonation of any fireworks. |
B. 1st offense – 10
days in ESSP
2nd offense – Level IV |
7. Theft |
Petty larceny on campus – value
is less than $100.00. Restitution will be applies in all cases. |
1st offense – 5
days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
8. Extortion |
Obtaining property from another person, with or without that person’s consent, induced by wrongful use of force or fear. |
1st offense – 5 days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
9. Destruction or damage
of property |
Act or attempted act of willful
destruction of school or private property. Restitution will be applies in all cases |
1st offense – 5
days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
10. Hazing |
Action
taken or situation created, intentionally, unintentionally,
or recklessly, for the purpose of pledging, being
initiated into, affiliating with, holding office
in, or maintaining membership in any organization
whose members are or include students directed against
another individual or group of individuals that endangers
the mental or physical health, well being, and/or
safety of a student, or result in humiliation, embarrassment,
ridicule, intimidation, and shame or which violates
any federal or local statute or MSSD policy |
1st offense – 5 days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
11. Harassment |
Actions detrimental to the
welfare of others based on: ethnicity, gender, sexual
orientation, race, disability, or religion. |
1st offense – 5
days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
12. Threats |
Act of making threats, verbally or physically, to do bodily harm for any reason. |
1st offense – 5 days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
13. Dishonesty |
Cheating,
plagiarism, cooperating with another student by allowing
him or her to look on or copy a test, homework, etc.,
forging notes/passes from parents or guardians, teachers,
staff members, or office personnel, placing prank
calls, falsification of travel plans or sign-out
designation |
1st offense – 3 days in ESSP
2nd offense – 5 days in ESSP
3rd offense – 10 days in ESSP
4th offense – Level IV |
14. False Information |
Refusal to give identification or giving
false identification when requested to do so by a staff
member or authority. Giving false information to a
staff member when being interviewed. |
1st offense – 5 days in ESSP
2nd offense – 10 days in ESSP
3rd offense – Level IV |
15. Disruptive Behavior |
Action detrimental to the
effective operations of the school. |
1st offense – 3
days in ESSP
2nd offense – 5 days in ESSP
3rd offense – 10 days in ESSP
4th offense – Level IV |
16. Insubordination |
Rebelliousness, unruliness,
and disregard of rules; failure to appear in Monday
Night Hall; and repeated violations of Levels I and
II |
1st offense – 3 days
in ESSP
2nd offense – 5 days in ESSP
3rd offense – 10 days in ESSP
4th offense – Level IV |
17. Leaving MSSD
campus/ Unauthorized Area |
Leaving campus without
permission during school and dormitory hours. Does
not follow all procedures related to leaving MSSD campus
and access to unauthorized areas. |
1st offense – 5
days in ESSP
2nd offense – 10 days in ESSP
3rd offense - Level IV |
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LEVEL IV – CODE
OF CONDUCT VIOLATIONS
Major Violation Code |
Definition |
1. Arson |
The deliberate setting of a
fire on Kendall Green property |
2. Assault |
|
- Physical
|
A. Gross physical attack on
any person or 3rd offense of Level III Assault. |
- Sexual (rape)
|
B. Sexual act committed without
consent. |
- Sexual Misconduct
|
C. Gross act of sexual misconduct
or 2nd offense of Level III Assault. |
3. Bomb |
|
- Threat
|
A. Any communication
to school authorities related to the placement of the bomb
or threat to place a bomb on Kendall Green. |
- Possession of Bomb
|
B. The possession of any
bomb |
- Detonation
|
C. The act of detonating
a bomb on Kendall Green. |
4. Drug/Alcohol
- Sale, Distribution, or Exchange;
|
A. Including making or adapting illegal or non-prescribed
substances, and the sale or exchange of alcohol and/or
drugs. |
- Use, Possession, or Accessory
|
B. 3rd offense of
Level III Drug/Alcohol |
5. Fire Safety
- False Alarm
|
A. Triggering a fire alarm or initiating a report of
fire or emergency without valid cause, or accessory to
this offense |
- Tampering, Misuse of any fire and other safety equipment.
|
B. 2nd offense of
Level III Fire Safety |
6. Sexual Acts |
3rd offense of Level
III Sexual acts. |
7. Weapons
- Use
|
A. The act of using a weapon or any instrument to inflict
bodily harm. |
- Possession/sale/distribution
|
B. The act of possessing, selling,
or distributing weapons or instruments that could be used
to inflict bodily harm. |
8. Fireworks
- Possession
|
A. Gross possession of fireworks
products or 3rd offense of Level III Fireworks |
- Detonation
|
B. Gross detonation of fireworks
or 2nd offense of Level III Fireworks |
9. Theft |
2nd offense petty larceny on
campus–value is less than $500; 1st offense grand
theft on campus– value is more than $500 or arrested
by local police for shoplifting off campus regardless of
property value. |
10. Destruction or damage
of property |
Gross act or attempted act of
willful destruction of school or private property or 3rd
offense of Level III Destruction or damage of property |
11. Harassment |
Gross actions detrimental to
the welfare of others based on: ethnicity, gender, sexual
orientation, race, disability, or religion, or 3rd offense
of Level III Harassment |
12. Extortion |
Gross act of obtaining property
from another person, with or without that person’s
consent, induced by wrongful use of force or fear or 3rd
offense of Level III Extortion |
13. Hazing |
Gross action taken or situation
created, intentionally, unintentionally, or recklessly,
for the purpose of pledging, being initiated into, affiliating
with, holding office in, or maintaining membership in any
organization whose members are or include student directed
against another individual or group of individuals which
endangers the mental or physical health, well being, and/or
safety of a student, or result in humiliation, embarrassment,
ridicule, intimidation, and shame or which violates any
federal local stature, or MSSD policy or 3rd offense of
Level III Hazing |
14. Disruptive Behavior |
Gross action detrimental to
the effective operations of the school or 3rd offense of
Level III Disruptive Behavior |
15. Gross
Insubordination |
Gross and repeated violations
of rules |
16. Threats |
Gross act of making threats,
verbally or physically, to do bodily harm or 2nd offense
of Level III Threats. |
17. False Information |
2nd offense of Level III False
Information. |
18. Leaving MSSD campus/
Unauthorized Area |
2nd offense of Level III Leaving MSSD campus/
Unauthorized Area. |
18. Other |
A. Offenses that endanger the safety of
students
B. Violations of federal or state laws. |
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