Background: The consumption of tobacco amongst adolescents is a major health problem, worldwide. It is estimated that 250 million children and adolescents who are alive today would die prematurely because of consumption of tobacco, most of them in the developing countries 1. Objective: The objective of the study was to examine the prevalence of tobacco use among 15-18 year old school students in rural areas of Paschim Medinipur District, West Bengal, India. Research methodology: This cross-sectional study was conducted in three Government aided high schools of Daspur-II block of Paschim Medinipur district. Total 2859 students of class IX, X, XI and XII were selected and data was collected by questionnaire method. Results: The prevalence of ever tobacco users were 36.4% and current tobacco users were 30. 2%. Prevalence was found too much higher in case of male students than female. About 74.3%, 75.4% and 79.5% current tobacco user school students preferred mostly chewable form of tobacco like „pan masala’ with tobacco?;„gutka? and „betel leaf with tobacco’. Conclusion: The prevalence of tobacco use among school students is alarming especially among boys. This investigation suggests that mmediate action is required to create a supportive environment for the health of young people.