JIH-E

NEPN/NSBA Code: JIH-E

STUDENT SEARCH CHECKLIST

This checklist is to be completed for each individualized student search incident as soon as possible after the search.

Name/Title of Person Performing Search and Completing Form:

________________________________________________________________

Date: ______________________

1. Who was searched? ________________________________________________

2. Date, time and location of search _____________________________________

3. What factors caused you to have a reasonable suspicion that a search of this student or the student’s possessions would provide evidence that the student has violated or is violating the law, Board policies or school rules?

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

4. Was student’s consent requested? __________ Given? ___________________

[Consent is not required for search to be conducted]

5. What was searched (i.e., person, personal belongings, storage facilities)?

________________________________________________________________

________________________________________________________________

6. Who witnessed the search? ________________________________________________________________

________________________________________________________________

7. What did the search yield? __________________________________________

A. What evidence was seized? _______________________________________

B. Was receipt issued for seized items? _______________________________

8. Were police notified? _____________________________________________

9. Was any evidence released to police? Yes _____ No _____

If yes, what evidence? _____________________________________________

10. Were parents notified of the search, including the reasons and the scope?

Yes _____ No _____

A. If yes, how were they notified? ________________________________

B. If no, why not? _____________________________________________

11. Other relevant facts (if any)_________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Signature of Person Performing Search and Completing Form:

__________________________________________________

[NOTE: If search resulted in school disciplinary action and/or referral to law enforcement, this form should be retained in the student's file.

If search did not result in disciplinary action, this form should be retained in separate file in school or superintendent’s office.]