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 30 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 July 1, 1997 to June 30, 1998. If you must respond to any question based on another time period, 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 Governor's SDFSCA funds. Reported data should not include programs and funds administered by or through the state educational agency.
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. 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 the necessary data are missing or unavailable, enter "MD" (for "missing data") or
If you do not believe the question applies to your situation, enter "NA" (for "not applicable").
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.
The reauthorization of the Safe and Drug-Free Schools and Communities program and the passage of the Government Performance & Results Act of 1993 place a strong focus on improving program effectiveness and public accountability by promoting and reporting on results and service quality at the federal, state, and local levels.
Please provide information on program effectiveness by attaching the following three pieces of information to this form:
Please attach a copy of your Governor's measurable goals and objectives for 1997-98.
If your Governor'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 Governor's goals and objectives have not changed since last provided to ED.
Please attach a description of your state's progress toward attaining its Governor'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:
Between July 1, 1997 and June 30, 1998, how many of the Section 4114 service recipients were:
| Service Recipients | ||
| a. | School-aged youth attending public or private schools | ________________ |
| b. | School-aged youth, not in school (e.g., dropouts, incarcerated) | ________________ |
| c. | Parents or guardians | ________________ |
| d. | Law enforcement officials (including district attorneys) | ________________ |
| e. | Teachers and other school personnel | ________________ |
| f. | Other community members | ________________ |
| Total: | ________________ | |
Note: The total should equal the sum of Q2 a-f above. |
Between July 1, 1997 and June 30, 1998, how many of the Section 4114 service recipients were:
| Service Recipients | ||
| a. | Less than 5 years old | ________________ |
| b. | 5 to 9 years old | ________________ |
| c. | 10 to 12 years old | ________________ |
| d. | 13 to 15 years old | ________________ |
| e. | 16 to 18 years old | ________________ |
| f. | 19 years or older | ________________ |
| Total: | ________________ | |
Note: The total should equal the sum of Q2 a-f above. |
What is the total number of Section 4114 awards made by your state for activities conducted between July 1, 1997 and June 30, 1998? Please report the number of primary awards. Do not include subcontracts.
_____ Awards
| Awards | ||
| a. | Less than 9 months | ________________ |
| b. | At least 9 months but less than one full year | ________________ |
| c. | At least 1 year but less than 18 months | ________________ |
| d. | At least 18 months | ________________ |
| Total: | ________________ | |
Note: The total of 5 a-d must equal the number reported in Q4. |
| Awards | ||
| a. | Less than $5,000 | ________________ |
| b. | Between $5,000 and $24,999 | ________________ |
| c. | Between $25,000 and $49,999 | ________________ |
| d. | At least $50,000 | ________________ |
| Total: | ________________ | |
Note: The total of 6 a-d must equal the number reported in Q4. |
| Awards | ||
| a. | Activities to protect students traveling to and from school | ________________ |
| b. | Activities to prevent violence related to prejudice and intolerance or the study of intolerance in history | ________________ |
| c. | After-school or before-school programs | ________________ |
| d. | Alternative education programs | ________________ |
| e. | Anti-gang activities | ________________ |
| f. | Community service projects | ________________ |
| g. | Conflict resolution/peer mediation | ________________ |
| h. | Comprehensive services and programs | ________________ |
| i. | Curriculum acquisition or development | ________________ |
| j. | Dissemination of information and media activities | ________________ |
| k. | Drug prevention instruction | ________________ |
| l. | Parent education/involvement | ________________ |
| m. | Program coordination with law enforcement or other community and state agencies or organizations | ________________ |
| n. | Program evaluation | ________________ |
| o. | Security personnel and equipment | ________________ |
| p. | Services for out-of-school youth (school-age) | ________________ |
| q. | Services for youth in school | ________________ |
| r. | Special, one-time events | ________________ |
| s. | Surveys of drug and violence prevalence and safety | ________________ |
| t. | Training for parents, teachers, law enforcement officials, and other community members | ________________ |
| u. | Violence prevention instruction | ________________ |
| v. | Youth/Student support services (e.g., assistance programs, counseling, mentoring, identification and referral) | ________________ |
| w. | Other PLEASE SPECIFY: _______________________________________________ |
________________ |
Note: Each number reported in 7 a-w may not exceed the total number reported in Q4. |
The next set of questions ask about implementing the Principles of Effectiveness.
8a. With regard to recipients of Governor's program awards implementation of the Principles, what has occurred in your state between July 1,1998 and (PLEASE CHECK ALL THAT APPLY)
____ No recipients have had difficulties with implementing the Principles.
____ Some recipients have had difficulties with implementing the Principles.
____ Some recipients have requested technical assistance with implementing the Principles from my office or other sources.
____ Many recipients have requested technical assistance with implementing the Principles from my office or other sources.
____ Even with technical assistance, some recipients have had significant difficulties with implementing the Principles.
____ Even with technical assistance, many recipients have had significant difficulties with implementing the Principles.
____ My office has had to work with one or more recipients to resolve issues related to their compliance with the Principles.
8b. What have been the most serious concerns or difficulties for recipients in implementing the Principles?(PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY).
8c. How many recipients are still experiencing these serious concerns or difficulties, as of ______________ (date)?
8d. Please briefly describe the types of technical assistance your office has provided (or arranged for other sources to provide) to recipients in implementing the Principles, and any other activities your agency has conducted related to implementation of the Principles.
The next set of questions (8e - 8g) is optional; however, your response will help us to provide better technical assistance to recipients.
8e. Please describe any difficulties your office has had in providing technical assistance to recipients in implementing the Principles, or in arranging for other sources to provide this technical assistance.
8f. What types of technical assistance would you like from the U.S. Department of Education with regard to implementation of the Principles?
8g. Please list one or more recipients in your state whose efforts to implement the Principles of Effectiveness have been particularly well designed and executed, and that you believe can serve as a model for other recipients. Please provide the recipient name and contact information.
Name:_____________________
Position:_____________________
Telephone Number:_____________________
Fax Number:_____________________
Email:_____________________
Agency Name:_____________________
Mailing Address
Street Address:_____________________
City:_____________________
State:_____________________
Zip Code:_____________________
The following information is included in order to clarify the meaning of abbreviations and other terms used in the governors' reporting form. Please call Barbara Williams at 1-800-937-8281 if you have questions.
After-school program
Any program, conducted after regular school hours, that encourages drug/violence free lifestyles. Programs may be recreational, instructional, cultural, or artistic in nature.
Alternative education program
Any program for students who are not enrolled in the regular school environment, such as students who are at risk of dropping out, students who have been expelled from their regular classes, students who are undergoing outpatient treatment for drug use, etc.
Before-school program
Any program, conducted before regular school hours, that encourages drug/violence free lifestyles. Programs may be recreational, instructional, cultural, and/or artistic in nature.
Community service projects
Activities conducted by students for the benefit of the larger community that encourage students to lead drug/violence free lifestyles or increase students' sense of community.
Comprehensive services/programs
Activities or services which include a variety of topics and strategies such as violence prevention, substance abuse prevention, and student support services.
Conflict resolution program
Any program offering peer mediation, or conflict and anger management instruction to students.
Curriculum acquisition or development
Purchase of or local development of drug/violence prevention instructional materials for preschool through grade 12 students. It includes acquisition or development of books, workbooks, videotapes, software, and other learning resources.
Drug
When phrases such as "drug use", "drug policies", "alcohol and other drugs (AOD)", are used in this survey, the terms are meant to include tobacco, alcohol, and other drugs.
Drug prevention instruction
Instruction aimed at drug prevention that is presented in the classroom (e.g., a unit in a health or physical education class that teaches about tobacco, alcohol, and other drugs; drug prevention instruction that is infused into the general curriculum; or stand-alone program or curriculum such as Here's Looking at You 2000, DARE, Quest, or BABES).
Parent education/involvement
Direct participation of parents or guardians in drug or violence-prevention programs. Types of involvement include the receipt of drug and violence prevention-related programming (education or training); assisting with drug and violence prevention-related instruction or activities in the schools (e.g., as instructors, aides, mentors, etc.).
Prevention services/activities
All alcohol and other drug and violence prevention education services, including drug prevention instruction, violence prevention instruction, prevention-related student support services (e.g., student assistance programs), and conflict resolution programs.
Security equipment
Any equipment for use in maintaining a drug/violence-free school environment, for example metal detectors, or beepers, cellular phones, and intercoms for security/school personnel.
Security personnel
Specially-trained personnel who ensure safety and security of a school building and its occupants.
Services for out-of-school youth
Drug/violence prevention projects, activities, or services for school-aged youth not currently enrolled in school, such as drop-outs, and youth in detention centers.
SDFSCA
The Safe and Drug-Free Schools and Communities Act. Prior to 1994, this was known as the Drug-Free Schools and Communities Act (DFSCA).
Special, one-time events
Drug/violence prevention-related activities that occur once during a school year (e.g., Red Ribbon Week, Project Graduation, special assemblies).
Student support services
Programs, activities, and events that aim to prevent alcohol and other drug use. Examples include support groups, help lines, counseling services, and mentoring.
Teacher/staff training
Professional development, training, or technical assistance for teachers, certified personnel, or other staff that addresses drug or violence prevention, curriculum implementation, student support, comprehensive health education, early intervention, or rehabilitation referrals.
Violence prevention instruction
Instruction that is presented in the classroom as part of a class or separate curriculum for the purposes of preventing violence.
THANK YOU FOR COMPLETING THIS FORM PROMPTLY AND COMPLETELY.
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Section 4117 of the Safe and Drug-Free Schools and Communities Act (SDFSCA) requires the Secretary to collect certain information about State (both SEA and governors' programs) and local implementation of SDFSCA on a triennial basis. Specifically, States are required to submit to the Secretary information on the State and local programs conducted with assistance furnished under SDFSCA that must include:
Section 4117 requires the Secretary to report to Congress, including reporting on the frequency, seriousness, and incidence of violence in elementary and secondary schools in the States. |
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