| D.A.R.E. 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.
Indicate the number
of schools and 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.