SAFE AND DRUG-FREE SCHOOLS and COMMUNITIES SURVEY PASSIVE PARENTAL PERMISSION FORM
In order to provide the most effective drug and violence prevention resources and/or activities for your child, the Title IV Safe and Drug-Free Schools and Communities Program collects survey information from students at various grade levels during the school year. The survey will take approximately 20 minutes to complete, is totally anonymous and voluntary, students have the right to “opt out”, and asks for responses that pertain to student involvement in substance abuse, violent situations, school climate and nutrition. The data collected will be used to identify critical areas of need for our Safe and Drug-Free Schools efforts. Survey analysis of these data provides information/data that:
1. Meets the No Child Left Behind Title IV mandated data collection requirements;
2. Assists in the maintenance of a school environment that is free of drugs and violence;
3. Promotes a classroom atmosphere that allows teachers to teach and students to learn; and
4. Develops and offers experiences that involve students in applying the concepts of making healthy decisions, accepting responsibility for behaviors, and understanding consequences.
If you DO NOT wish for your child to participate in this important school survey, please complete the form below and return it to school.