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? _________________________________
If yes, what evidence? _____________________________________________
10. Were parents notified of the search, including the reasons and the scope?
_______________________________________________________________
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: __________________________________________________
Adopted: June 25, 2012