Tracking Report Form #18A

Substance Incident Report
2007-2008 School Year

District :    
School :   Last Updated on
Grade Tobacco Alcohol Marijuana
Dist. Use Poss. O-Susp* Exp* Dist. Use Poss. O-Susp* Exp* Dist. Use Poss. O-Susp* Exp*
K
1
2
3
4
5
6
7
8
9
10
11
12
Totals

Alcohol - Any product containing at least 0.5 alcohol by volume or weight. Examples include beer, wine and spirits (vodka, gins, whiskey, etc.)
Tobacco - A product containing tobacco in any form
Marijuana - Violation of laws or ordinances prohibiting the manufacture, sale, purchase, transportation, possession or consumption of marijuana. Suspicion of being under the influence of marijuana may be included if it results in disciplinary action.

Distribution: includes sale and/or providing alcohol, tobacco or marijuana to another while on school campus or at school sponsored activities
Use: means use on school campus or at school-sponsored activities.
Possession: means marijuana, alcohol, or tobacco carried by a student while on the school campus or at school sponsored activities.

O-Susp = Out-of-School Suspensions - Prohibiting school attendance for fewer than ten consecutive days.
Exp = Expelled - Prohibiting school attendance, without services and not being placed in an alternative setting, for ten or more consecutive school days.