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doc14619 KSU_SOAR_Student_Code_of_Conduct_Form.pdf
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"text": "The Kentucky State University (KSU) SOAR Program is committed to providing a safe, respectful, and positive learning environment for all participants. As a participant in the SOAR Program, I understand that I am representing myself, my school, my family, and Kentucky State University. I agree to conduct myself in a manner that supports the educational mission and values of the program."
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Page 2
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"text": "We want to help you grow, learn, and succeed—but that means taking responsibility and respecting others."
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"text": "I have read and understand the Kentucky State University SOAR Program Student Code of Conduct. I agree to follow all rules, expectations, and instructions established by program staff. I understand that failure to comply may result in disciplinary action, including dismissal from the program."
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"text": "",
"attrs": {
"field_kind": "text",
"label": "Phone Number: ___",
"source": "blank_line",
"label_source": "parent_text",
"label_ref": "p3.2"
}
}
]
},
{
"id": "p3.3",
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"type": "text",
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"t": 645.84,
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},
"text": "Participant Email: _____",
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{
"id": "p3.3.1",
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"type": "form_field",
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"attrs": {
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"label": "Participant Email: _____",
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"label_source": "parent_text",
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}
}
]
},
{
"id": "p3.4",
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"type": "text",
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"t": 615.6,
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"b": 599.76
},
"text": "Participant Signature: ___",
"children": [
{
"id": "p3.4.1",
"order": 8,
"type": "form_field",
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"t": 615.2534,
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"b": 601.9643
},
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"attrs": {
"field_kind": "text",
"label": "Participant Signature: ___",
"source": "blank_line",
"label_source": "parent_text",
"label_ref": "p3.4"
}
}
]
},
{
"id": "p3.5",
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"type": "heading",
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},
"text": "Parent/Guardian Acknowledgment",
"attrs": {
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"level": 3
},
{
"id": "p3.6",
"order": 10,
"type": "text",
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},
"text": "I have reviewed the Kentucky State University SOAR Program Student Code of Conduct with my student. I understand the expectations and consequences outlined in this agreement and support my student's participation in the program."
},
{
"id": "p3.7",
"order": 11,
"type": "text",
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"b": 440.4
},
"text": "Parent/Guardian Name: ___",
"children": [
{
"id": "p3.7.1",
"order": 12,
"type": "form_field",
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"t": 456.1334,
"r": 392.64,
"b": 442.8443
},
"text": "",
"attrs": {
"field_kind": "text",
"label": "Parent/Guardian Name: ___",
"source": "blank_line",
"label_source": "parent_text",
"label_ref": "p3.7"
}
}
]
},
{
"id": "p3.8",
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"type": "text",
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"b": 417.36
},
"text": "Relationship to Student: _____",
"children": [
{
"id": "p3.8.1",
"order": 14,
"type": "form_field",
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"b": 419.9243
},
"text": "",
"attrs": {
"field_kind": "text",
"label": "Relationship to Student: _____",
"source": "blank_line",
"label_source": "parent_text",
"label_ref": "p3.8"
}
}
]
},
{
"id": "p3.9",
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"type": "text",
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},
"text": "Parent/Guardian Phone Number: ___",
"children": [
{
"id": "p3.9.1",
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"type": "form_field",
"bbox": {
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"r": 382.32,
"b": 397.1243
},
"text": "",
"attrs": {
"field_kind": "text",
"label": "Parent/Guardian Phone Number: ___",
"source": "blank_line",
"label_source": "parent_text",
"label_ref": "p3.9"
}
}
]
},
{
"id": "p3.10",
"order": 17,
"type": "text",
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"b": 371.52
},
"text": "Parent/Guardian Email: ___",
"children": [
{
"id": "p3.10.1",
"order": 18,
"type": "form_field",
"bbox": {
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"b": 374.2043
},
"text": "",
"attrs": {
"field_kind": "text",
"label": "Parent/Guardian Email: ___",
"source": "blank_line",
"label_source": "parent_text",
"label_ref": "p3.10"
}
}
]
},
{
"id": "p3.11",
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"type": "text",
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"b": 348.96
},
"text": "Parent/Guardian Signature: ___",
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{
"id": "p3.11.1",
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"type": "form_field",
"bbox": {
"l": 72,
"t": 364.5733,
"r": 391.92,
"b": 351.2843
},
"text": "",
"attrs": {
"field_kind": "text",
"label": "Parent/Guardian Signature: ___",
"source": "blank_line",
"label_source": "parent_text",
"label_ref": "p3.11"
}
}
]
}
],
"excluded_furniture": {
"first": [],
"last": []
}
}