Statistical Data Sheet

12 month period - Calendar or School

List your agency in the box below then indicate, the type of agency and the number of instructors involved in the delivery of the D.A.R.E. program.

According to rank,indicate below the number of D.A.R.E. officers and supervisors and percentage of their time assigned to D.A.R.E.activities (i.e.: teaching, preparation administration & community events).
Please enter
The number of officers
Less than 50% of the time
More than 50% of the time


Indicate the number
of schools
students that participated in the different curricula of the D.A.R.E. program in your community.  

Indicate below, the number of schools, school districts, and communities participating in which your agency presents the D.A.R.E. program.

Upon completion, please return to your State Coordinator by clicking the Submit Button at the bottom of this form.

D.A.R.E. Statistical Data Sheet