EXHIBIT
STUDENT INTERROGATIONS,
SEARCHES, AND ARRESTS
FORM FOR SIGNATURE OF
INTERVIEWING OFFICER
I, _______________________________________, a duly sworn peace officer and member of the _____________________________________________ Department, _____________________ division, have asked that _________________________, a student in the ________________________________________________________ School, be made available for interview.
Date ______________________ Signature _________________________
Time ______________________ Badge Number _____________________
School Action
Date and time parents notified (if more than one [1] attempt is made, include
such information here) ___________________________________________
______________________________________________________________
___________________________________
Signature of Administrator
1 copy for School Records
1 copy for Parent Mailing
1 copy for Police Officer
1 copy for Witnessing Administrator