Reporting Form for: Safe and Drug-Free Schools Program
Office of Elementary and Secondary Education
U.S. Department of Education
400 Maryland Avenue, SW
Washington, DC 20202-6123
(Part 1 of 2)
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According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number of this information collection is ________. The time required to complete this information collection is estimated to average 40 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202-4651. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Barbara Williams, Westat, 1650 Research Boulevard, Rockville, MD 20850-3129. |
INSTRUCTIONS
The information below answers some common questions that people have about completing this form. Please read these instructions carefully before completing it. A glossary is attached to define some of the terms used here. These terms appear in italics throughout the reporting form.
What time period is covered in these questions? The time period covered in these questions is the 1997-98 school year. If you must use data from some other time period (e.g., criminal justice statistics reported for the calendar or fiscal year), please note this information in the margin next to the relevant question.
What funding sources are covered in these questions? This report refers to SDFSCA programs and funds administered by or through the state educational agency. Data reported on this form should not include Governors' (Section 4114) SDFSCA funds.
Should I answer every question? What if a question is not applicable? Please answer every question to which you are directed and do not leave any question unanswered unless you are directed to skip the question. We have provided special instructions telling you when to skip certain questions. If you are asked a question for which you do not have the necessary data or if you believe that the question does not apply to your situation, please use the following abbreviations to indicate that fact:
If a response to a question is "0" or "None," be sure to enter "0" or "None."
Who can I contact if I have questions? If you have questions, please contact Barbara Williams at 1-800-937-8281.
What should I do when I have completed the form? Please retain a copy of the completed reporting form and any attachments for your files. Please be certain the name of your state is clearly visible on all attachments. This will help if we need to contact you to clarify any information.
Please provide information on program effectiveness by attaching the following three pieces of information to this form:
| Please attach a copy of your state educational agency's measurable goals and objectives for 1997-98. |
If your SEA's goals and objectives have not changed since last provided to ED, you need only check the box below rather than attaching a copy to this form.
_____ Our SEA's goals and objectives have not changed since last provided to ED.
Please attach a description of your state's progress from July, 1997 through June, 1998 toward attaining its state educational agency's measurable goals and objectives, including any outcome data and measures of effectiveness that your state has collected.
Please structure your description around three topics:
Part I
Under the SDFSCA, states must distribute 30 percent of available local program funds to local educational agencies (LEAs) that have the "greatest need for additional funds to carry out drug and violence prevention programs." What factors did your state educational agency (SEA) use to make these funding decisions to determine which LEAs had the greatest need for additional resources? For each of the factors listed below, please check either a "Yes" or "No" as appropriate for your state to indicate whether or not it was used to make these funding decisions for 1997-98.
| Yes | No | ||
| a. | Rates of alcohol and drug use among youth | ____1 | ____2 |
| b. | Rates of violent or criminal victimization of youth | ____1 | ____2 |
| c. | Rates of arrest and conviction of youth for violent, alcohol, or other drug-related crime including any crime specifically involving possession or use of alcohol or some other drug (e.g., public drunkenness, driving while impaired), or any crime committed while using alcohol or some other drug. | ____1 | ____2 |
| d. | Extent of illegal gang activity | ____1 | ____2 |
| e. | Incidence of violence and vandalism in school | ____1 | ____2 |
| f. | Rates of youth participation (voluntary and involuntary) in drug/ alcohol treatment or rehabilitation programs | ____1 | ____2 |
| g. | Rates of referral of youth to juvenile court | ____1 | ____2 |
| h. | Rates of student expulsions and suspensions from schools and referrals to alternative programs | ____1 | ____2 |
| i. | Incidence of reported child abuse and domestic violence | ____1 | ____2 |
| j. | Rates of school dropout and absences | ____1 | ____2 |
| k. | Level of district poverty (e.g., percentage of students receiving free or reduced-price lunches) | ____1 | ____2 |
| l. | Local implementation of research based approaches | ____1 | ____2 |
| m. | Other | ____1 | ____2 |
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PLEASE SPECIFY: _____________________________________________________
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Part II
What criteria did your SEA use to review and approve LEA applications for school year 1997-98 SDFSCA funds? Please check either "Yes or "No" for each option listed below to indicate whether or not you used each of these criteria.
| Yes | No | ||
| a. | Demonstrated success in meeting LEA measurable goals and objectives | ____1 | ____2 |
| b. | Outcome data and other measures of effectiveness | ____1 | ____2 |
| c. | Continuation of previously approved projects | ____1 | ____2 |
| d. | Recommendation of peer reviewers | ____1 | ____2 |
| e. | LEA needs assessment | ____1 | ____2 |
| f. | Application conforms to the law | ____1 | ____2 |
| g. | Project is based on research or a model of proven effectiveness | ____1 | ____2 |
| h. | Other | ____1 | ____2 |
PLEASE SPECIFY: _____________________________________________________
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Many of the questions in this form ask you to provide information separately for public elementary, middle, and senior high schools in your state. In order for your answers to accurately reflect the situation in your state, we need to know if the report definitions of these education levels match the structure in your school system.
Please read the three definitions that follow and indicate if these match the definitions for elementary, middle and senior high schools in your state. If not, please describe the difference on the lines provided, even if the difference is not consistent across the state. If unsure, please refer to the expanded definition of these terms provided in the glossary on pages A1, A2, and A3 of this form.
Yes _____1
No _____2 --> PLEASE DESCRIBE THE DIFFERENCE:
______________________________________________________________
______________________________________________________________
Yes _____1
No _____2 --> PLEASE DESCRIBE THE DIFFERENCE:
______________________________________________________________
______________________________________________________________
Yes _____1
No _____2 --> PLEASE DESCRIBE THE DIFFERENCE:
______________________________________________________________
______________________________________________________________
_______Public elementary schools
6a. Of the students enrolled in these public elementary schools during the 1997-1998 school year, how many received services that were funded in whole or in part by SDFSCA?
_______Public elementary school students
_______Public middle schools
7a. Of the students enrolled in these public middle schools during the 1997-1998 school year, how many received services that were funded in whole or in part by SDFSCA?
_______Public middle school students
_______Public senior high schools
8a. Of the students enrolled in these public senior high schools during the 1997-1998 school year, how many received services that were funded in whole or in part by SDFSCA?
_______Public senior high school students
The next few questions ask for information on how SDFSCA funding was provided to the LEAs in your state.
Yes_____1 --> SKIP TO QUESTION 13
No_____2
Yes_____1
No_____2 --> Please contact Barbara Williams at 800-937-8281. We need to clarify your funding methods.
________ LEAs received SDFSCA funding individually
11a. During the 1997-1998 school year, how many students (Grades K-12) were enrolled in LEAs that had received SDFSCA funding for that school year? Please base your answer on an October 1, 1997 enrollment date.
________ Number of students enrolled in LEAs that received SDFSCA funding
________ LEAs did not receive SDFSCA funding
12a. During the 1997-1998 school year, how many students (Grades K-12) were enrolled in LEAs that had not received SDFSCA funding for that school year? Please base your answer on an October 1, 1997 enrollment date.
________ Number of students enrolled in LEAs that did not receive SDFSCA funding
________ Total number of LEAs in state
NOTE: Please be certain that your answers to Question 11 and Question 12 sum to the total number of LEAs in your state. |
SKIP TO QUESTION 16 ON PAGE 8.
________ LEAs received SDFSCA funding through consortia/IEAs/cooperatives
13a. During the 1997-1998 school year, how many students (Grades K-12) were enrolled in LEAs that had received SDFSCA funding for that school year through consortia, IEAs, or other district cooperatives? Please base your answer on an October 1, 1997 enrollment date.
________ Number of students enrolled in LEAs that received SDFSCA funding through consortia/IEAs/cooperatives
________ LEAs received SDFSCA funding individually
14a. During the 1997-1998 school year, how many students (Grades K-12) were enrolled in LEAs that had received SDFSCA funding individually or singly for that school year -- that is not through consortia, IEAs, or other district cooperatives? Please base your answer on an October 1, 1997 enrollment date.
________ Number of students enrolled in LEAs that received SDFSCA funding individually
________ LEAs did not receive SDFSCA funding
15a. During the 1997-1998 school year, how many students (Grades K-12) were enrolled in LEAs that had not received any SDFSCA funding for that school year? Please base your answer on an October 1, 1997 enrollment date.
_______ Number of students enrolled in LEAs that did not receive SDFSCA funding
_______ Total number of LEAs in state
NOTE: Please be certain that your answers to Question 13, Question 14, and Question 15 sum to the total number of LEAs in your state. |
The following two questions ask about the services/activities LEAs in your state provide with the SDFSCA resources. Please include LEAs that receive SDFSCA funds through consortia, counting each of these LEAs separately. Please consider only the district's services/ activities funded by SDFSCA resources. An LEA may be counted in more than one category for Questions 16 and 17.
________ LEAs using SDFSCA funding for drug prevention services/activities
________ LEAs using SDFSCA funding for violence prevention services/activities
During the 1997-1998 school year, how many of your state's LEAs provided:
| Service/Activity | Number of LEAs Providing Service/Activity |
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|---|---|---|---|
| a. | After-school or before-school programs | ___________________ | |
| b. | Alternative education programs | ___________________ | |
| c. | Community service projects | ___________________ | |
| d. | Conflict resolution/peer mediation | ___________________ | |
| e. | Curriculum acquisition or development | ___________________ | |
| f. | Drug prevention instruction | ___________________ | |
| g. | Parent education/involvement | ___________________ | |
| h. | Security equipment | ___________________ | |
| i. | Security personnel | ___________________ | |
| j. | Services for out-of-school youth (school age) | ___________________ | |
| k. | Special, one-time events | ___________________ | |
| l. | Student support services (e.g., student assistance programs, counseling, mentoring, identification and referral) | ___________________ | |
| m. | Teacher/staff training | ___________________ | |
| n. | Violence prevention instruction | ___________________ | |
| o. | Other | ___________________ | |
PLEASE SPECIFY: _____________________________________________________
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_____LEAs
19a. Among those LEAs identified in Question 19, how many districts involved schools and one or more community agencies or organizations in:
| Type of Community Involvement | Number of LEAs | |
|---|---|---|
| a. | Joint service delivery, including referrals | _______________ |
| b. | Teacher/staff training | _______________ |
| c. | Public awareness activities | _______________ |
| d. | Fundraising | _______________ |
_______ LEAs
The Safe and Drug-Free Schools and Communities Act requires the Secretary of Education to report to Congress, including reporting on "the frequency, seriousness, and incidence of violence in elementary and secondary schools in the States." Therefore, questions 21-35 ask about incidents of prohibited behavior on school property. Please report the statistics for all LEAs in the state, not just those receiving SDFSCA funding. As you answer these questions, please include all incidents, whether "committed" by or "victimizing" students, school personnel, or non-school personnel.
Also, report incidents that occur on school grounds/property 365 days a year and 24 hours a day, not just those that occur during school hours. While this definition was developed by the National Forum on Education Statistics, state reporting systems may be using different time frames.
Therefore, to assist in interpreting the data you provide for questions 21-35 please indicate below your state's definition of "school year" and "school day".
_______ 12 months (i.e., 365 days a year)
_______ 11 months (i.e., August/September through May/June plus summer school)
_______ 10 months or less (e.g., 180 days or equivalent number of hours)
_______ 24 hours per day
_______ student day including before/after-school student activities
_______ student day excluding before/after-school student activities
_______ no state definition or locally determined
Please use the following definitions as you answer these questions.
Incident A violation of a statute or regulation; it may involve one or more victims and one or more offenders. For reporting purposes, an incident of prohibited behavior is the single most serious act that occurs in a given overall incident. Incidents (ordered from most serious to least serious) include the following: homicide; sexual battery (including rape); robbery; battery; breaking and entering/burglary; larceny/theft; motor vehicle theft; kidnaping; arson; threat/intimidation; use or possession of drugs (other than alcohol); sexual harassment; sex offenses (non-forcible); vandalism; weapon possession; unclassified offenses; alcohol (liquor law violations); tobacco (where declared illegal); trespassing; fighting; disorderly conduct; as well as other major offenses; and other state (district or municipal) defined offenses.
Non-school personnel An individual who was neither a student nor school personnel for the district reporting the incident.
Non-student An individual who is not a student in the school or district reporting the incident.
Offender Any individual, whether student or not, involved in committing an incident of prohibited behavior. There may be more than one offender involved in any single incident.
School personnel A teacher, administrator, or other school staff member such as support staff or maintenance worker; includes a school-based law enforcement officer such as a school resource officer.
Student An individual who is enrolled as a PK-12 student in the school district reporting the incident at the time the incident occurred.
Weapon Any instrument or object possessed or used to inflict harm on another person, or to intimidate any person. Examples include firearms of any kind (operable or inoperable, loaded or unloaded); all types of knives, chains, pipes, razor blades or similar instruments with sharp cutting edges; ice picks, dirks, other pointed instruments (including pencils, pens); nunchakus; brass knuckles; Chinese stars; billy clubs; tear gas guns; electrical weapons or devices (stun guns); BB or pellet guns; and explosives or propellants.
Weapons-related incident Any incident that involves possession, use, or intention of use of any instrument or object to inflict harm on another person, or to intimidate a person, as well as any incident that is somehow related to the possession, use or sale of weapons but where the use, possession, or sale of weapons was not the main offense (e.g., burglary, trespassing, vandalism); in other words, any incident for which a weapon is present.
21a. First, we will ask about incidents at elementary schools in your state. During the 1997-1998 school year, how many incidents occurred on the property of elementary schools?
_______ Incidents on elementary school property
21b. Please indicate the total number of victims (unduplicated count) reported in the incidents (Question 21a), that fall in the following categories. How many of these victims were:
_______ Students | |
_______ School personnel | |
_______ Non-school personnel | |
_______ Unknown | |
Total: | _______ Number of victims involved in incidents on elementary school property |
22a. During the 1997-1998 school year, how many offenders (unduplicated count) were involved in the incidents reported in Question 21a on the property of elementary schools?
_______ Offenders
22b. Please indicate the number of the offenders involved in the incidents reported in Question 21a that fall in the following categories. How many of these offenders were:
_______ Students | |
_______ Non-students | |
_______ Unknown | |
Total: | _______ Number of offenders (Sum should equal number of offenders reported in Question 22a) |
_______ Weapons-related incidents
24a. Next, we ask about incidents at middle schools in your state. During the 1997-1998 school year, how many incidents occurred on the property of middle schools?
_______ Incidents on middle school property
24b. Please indicate the total number of victims (unduplicated count) reported in the incidents (Question 24a), that fall in the following categories. How many of these victims were:
_______ Students | |
_______ School personnel | |
_______ Non-school personnel | |
_______ Unknown | |
Total: | _______ Number of victims involved in incidents on middle school property |
25a. During the 1997-1998 school year, how many offenders (unduplicated count) were involved in the incidents reported in Question 24a on the property of middle schools?
_______ Offenders
25b. Please indicate the number of offenders involved in the incidents reported in Question 24a that fall in the following categories. How many of these offenders were:
_______ Students | |
_______ Non-students | |
_______ Unknown | |
Total: | _______ Number of offenders (Sum should equal number of offenders reported in Q25a) |
________ Weapons-related incidents
27a. Now, we ask about incidents at senior high schools in your state. During the 1997-1998 school year, how many incidents occurred on the property of senior high schools?
________ Incidents on senior high school property
27b. Please indicate the total number of victims (unduplicated count) reported in the incidents (Question 27a), that fall in the following categories. How many of these victims were:
_______ Students | |
_______ School personnel | |
_______ Non-school personnel | |
_______ Unknown | |
Total: | _______ Number of victims involved in incidents on senior high school property |
28a. During the 1997-1998 school year, how many offenders (unduplicated count) were involved in the incidents reported in Q27a on the property of senior high schools?
________ Offenders
28b. Please indicate the number of offenders involved in the incidents reported in Question 27a that fall in the following categories. How many of these offenders were:
_______ Students | |
_______ Non-students | |
_______ Unknown | |
Total: | _______ Number of offenders (Sum should equal number of offenders reported in Q28a) |
________ Weapons-related incidents
Questions 30-35 ask about the number of schools in your state that reported incidents of prohibited behavior that occurred on the school grounds/property during the 1997-1998 school year. Please remember to report statistics for all schools in your state, not just those that received SDFSCA funding.
| Incidents | Number of Schools |
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|---|---|---|
| a. | no incidents | __________ |
| b. | between 1 and 5 incidents | __________ |
| c. | between 6 and 10 incidents | __________ |
| d. | between 11 and 24 incidents | __________ |
| e. | 25 or more incidents | __________ |
| f. | schools not reporting (missing data) | __________ |
| g. | Total number of elementary schools | __________ |
NOTE: Your answers to items a-f should sum to the total number of elementary schools operating in your state. |
| Weapons-related incidents | Number of Schools |
|
|---|---|---|
| a. | no weapons-related incidents | __________ |
| b. | between 1 and 5 weapons-related incidents | __________ |
| c. | between 6 and 10 weapons-related incidents | __________ |
| d. | between 11 and 24 weapons-related incidents | __________ |
| e. | 25 or more weapons-related incidents | __________ |
| f. | schools not reporting (missing data) | __________ |
| g. | Total number of elementary schools reporting one or more incidents | __________ |
NOTE: Your answers to items a-f should sum to the total number of elementary schools reporting one or more incidents in Question 30b-e. |
| Incidents | Number of Schools | |
|---|---|---|
| a. | no incidents | __________ |
| b. | between 1 and 5 incidents | __________ |
| c. | between 6 and 10 incidents | __________ |
| d. | between 11 and 24 incidents | __________ |
| e. | 25 or more incidents | __________ |
| f. | schools not reporting (missing data) | __________ |
| g. | Total number of middle schools | __________ |
NOTE: Your answers to items a-f should sum to the total number of middle schools operating in your state. |
Among those middle schools that reported one or more incidents during the 1997-1998 school year, how many middle schools reported: (Note: Weapons-related incidents are a subset of all incidents that occurred.)
| Weapons-related incidents | Number of Schools | |
|---|---|---|
| a. | no weapons-related incidents | __________ |
| b. | between 1 and 5 weapons-related incidents | __________ |
| c. | between 6 and 10 weapons-related incidents | __________ |
| d. | between 11 and 24 weapons-related incidents | __________ |
| e. | 25 or more weapons-related incidents | __________ |
| f. | schools not reporting (missing data) | __________ |
| g. | Total number of middle schools reporting one or more incidents | __________ |
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NOTE: Your answers to items a-f should sum to the total number of middle schools reporting one or more incidents in Question 32b-e. |
| Incidents | Number of Schools | |
|---|---|---|
| a. | no incidents | __________ |
| b. | between 1 and 5 incidents | __________ |
| c. | between 6 and 10 incidents | __________ |
| d. | between 11 and 24 incidents | __________ |
| e. | 25 or more incidents | __________ |
| f. | schools not reporting (missing data) | __________ |
| g. | Total numbers of senior high schools | __________ |
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NOTE: Your answers to items a-f should sum to the total number of senior high schools operating in your state. |
| Weapons-related incidents | Number of Schools | |
|---|---|---|
| a. | no weapons-related incidents | __________ |
| b. | between 1 and 5 weapons-related incidents | __________ |
| c. | between 6 and 10 weapons-related incidents | __________ |
| d. | between 11 and 24 weapons-related incidents | __________ |
| e. | 25 or more weapons-related incidents | __________ |
| f. | schools not reporting (missing data) | __________ |
| g. | Total number of senior high schools reporting one or more incidents | __________ |
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NOTE: Your answers to items a-f should sum to the total number of senior high schools reporting one or more incidents in Question 34b-e. |
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