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District-Wide Safe Schools and Crisis Plan - Blytheville Public Schools

District-Wide Safe Schools and Crisis Plan - Blytheville Public Schools

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H.9. STAY ALIVE CONTRACT<br />

I, _____________________________________________________(Student)<br />

COMMIT THAT I WILL NOT TAKE ANY ACTIONS TO END MY LIFE BEFORE I TALK<br />

WITH YOU_______________________________________(School Personnel)<br />

AGAIN.<br />

IF I FEEL SUICIDAL OR HAVE SUICIDAL THOUGHTS BEFORE I SEE YOU<br />

ON, ______________________________, I WILL CONTACT YOU AS SOON AS<br />

POSSIBLE AT ____________________ OR _______________________. IF YOU<br />

ARE NOT AVAILABLE, I WILL ALSO CALL_______________________________<br />

AND/OR __________________________ FOR ASSISTANCE.<br />

___________________________ ______________________________<br />

School Personnel Student Name<br />

__________________<br />

Date<br />

65

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