Meeting to Create a Student Safety Plan
The purpose of this meeting is to create a school safety plan for a student who does not feel safe in school.  
It is important that all parties understand and agree to the following points:

•	The school and parent(s)/guardian(s) are working together to make sure the student feels safe in school.  This is something we all want.  We all agree on this.

•	This is not about redressing the past or assessing blame for what did or did not happen.  This is about the future and what we are going to do to make sure the student feels safe in school.

•	This is about specific steps the school will take to help the student feel safe.

•	While it is important that the school enforce its policies and administer appropriate discipline that is something separate from the scope of this plan.

•	The school should make no promises about behaviors that it cannot control; however, the school can commit to following through on what is laid out in this safety plan.

•	This plan should be shared with the student and relevant adults in the school.

•	This plan should be referenced, revisited, and reviewed.

We are working together in good faith so that the affected student can feel safe in school and access an education.  This plan will help achieve that.

Student Safety Plan

Student’s Name:

Date Drafted:		Date plan takes effect: 		Review date:

Individuals present:

To be shared with:

Summary of what has been happening so that the student does not feel safe in school:

Summary of how it is affecting the student:

Student Safety Plan

What preventative actions will the school commit to?

How will the school increase monitoring and supervision of the issues/behaviors?

What systems of reporting will the school put in place?

How will the school communicate issues with parents and staff?

What support systems will the school provide for the student?

What additional steps are necessary to put this plan into action?

We commit to this plan to help ensure the safety of this student in school:

____________________________________		_______________
School Administrator							Date

____________________________________			_______________
Parent/Guardian							Date