STUDENT SEARCH CHECKLIST


Name/Title of Person Performing Search and Completing Form

Date:

1.	Who was searched?

2.	Date, Time and location of search


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



4.	Witness(es) to search


5.	What did the search yield?

6.	Were police notified?

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

8.	Other relevant facts (if any)

Signature of Person Performing Search and Completing Form

First Reading: January 7, 2004

Adopted: _____________