Glenbard Township High School District 87
Policy 7:190-E1
Students
Exhibit – Referral for Breathalyzer Testing
I understand that I have been referred for breathalyzer testing to detect alcohol use. This referral is based on the following:
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I agree to submit to the test, and have the results shared with District Administrators.
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Student Signature Date
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Witness Signature Date
I do not agree to submit to breathalyzer testing. I understand that my refusal to participate in such testing may be considered evidence that I am under the influence of alcohol or another prohibited substance.
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Student Signature Date
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Witness Signature Date
ADOPTED: April 3, 2006
REVIEWED: May 15, 2006
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