> **OMB #.: XXXX-XXXX**
>
> **Expiration date: 01/31/2009**

IF ABOVE INFORMATION IS INCORRECT,

PLEASE MAKE CORRECTIONS DIRECTLY ON LABEL

**PRINCIPAL QUESTIONNAIRE**

**2005--06 SCHOOL YEAR**

![](media/image1.jpeg){width="4.33125in" height="2.6305555555555555in"}

Prepared for the U.S. Department of Education

National Center for Education Statistics

By U.S. Census Bureau

Suitland, MD XXXXX

1-888-XXX-XXX

**Assurance of Confidentiality**

This survey is authorized by Title I, Part E, Sections 151(b) and 153(a)
of Public Law 107-279, the Education Sciences Reform Act of 2002.
Participation is voluntary. Your responses are protected from disclosure
by federal statute (P.L. 107-279, Title I, Part E, Sec. 183). All
responses that relate to or describe identifiable characteristics of
individuals may be used only for statistical purposes and may not be
disclosed or used for any other purposes, unless otherwise compelled by
law. Your cooperation is essential to make the results of this survey
comprehensive, accurate, and timely. The information you provide will be
combined with the information provided by others in statistical reports.
No individual data that links your name, address, or telephone number
with your responses will be included in the statistical reports.

+--------------------------------+-----------------------------------+---+
| **Please respond by:**         | **march 24, 2006**                |   |
+--------------------------------+-----------------------------------+---+
| **SURVEY INSTRUCTIONS:**       |                                   |   |
+--------------------------------+-----------------------------------+---+
| -   For most questions, please |                                   |   |
|     mark the box that best     |                                   |   |
|     reflects your school's     |                                   |   |
|     circumstances. Please mark |                                   |   |
|     your response with an 'x'. |                                   |   |
|                                |                                   |   |
| -   For questions that ask for |                                   |   |
|     counts or percents, please |                                   |   |
|     [use zeros]{.underline}    |                                   |   |
|     where appropriate, rather  |                                   |   |
|     than leaving the item      |                                   |   |
|     blank.                     |                                   |   |
|                                |                                   |   |
| -   There are two items (5     |                                   |   |
|     and 26) for which we would |                                   |   |
|     prefer that you provide    |                                   |   |
|     estimates. It is not       |                                   |   |
|     necessary to consult any   |                                   |   |
|     records.                   |                                   |   |
|                                |                                   |   |
| -   Definitions are available  |                                   |   |
|     (on page iii) for many     |                                   |   |
|     terms. [Defined            |                                   |   |
|     terms]{.underline} will be |                                   |   |
|     highlighted with [red      |                                   |   |
|     text]{.underline}          |                                   |   |
|     throughout the survey.     |                                   |   |
|                                |                                   |   |
| -   Some questions refer to    |                                   |   |
|     the 2005--06 school year.  |                                   |   |
|     Please report for the      |                                   |   |
|     [school year to            |                                   |   |
|     date]{.underline}.         |                                   |   |
|                                |                                   |   |
| +------------+-------------+   |                                   |   |
| | Please     |             |   |                                   |   |
| | have this  |             |   |                                   |   |
| | que        |             |   |                                   |   |
| | stionnaire |             |   |                                   |   |
| | filled out |             |   |                                   |   |
| | by the     |             |   |                                   |   |
| | person     |             |   |                                   |   |
| | most       |             |   |                                   |   |
| | kno        |             |   |                                   |   |
| | wledgeable |             |   |                                   |   |
| | about this |             |   |                                   |   |
| | topic.     |             |   |                                   |   |
| | Please     |             |   |                                   |   |
| | keep a     |             |   |                                   |   |
| | copy of    |             |   |                                   |   |
| | the        |             |   |                                   |   |
| | completed  |             |   |                                   |   |
| | que        |             |   |                                   |   |
| | stionnaire |             |   |                                   |   |
| | for your   |             |   |                                   |   |
| | records.   |             |   |                                   |   |
| |            |             |   |                                   |   |
| | Please     |             |   |                                   |   |
| | provide    |             |   |                                   |   |
| | the        |             |   |                                   |   |
| | following  |             |   |                                   |   |
| | in         |             |   |                                   |   |
| | formation: |             |   |                                   |   |
| +------------+-------------+   |                                   |   |
| | Name of    | \           |   |                                   |   |
| | person     | _\_\_\_\_\_ |   |                                   |   |
| | completing | \_\_\_\_\_\ |   |                                   |   |
| | form:      | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| +------------+-------------+   |                                   |   |
| | Telephone: | \           |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| +------------+-------------+   |                                   |   |
| | Titl       | \           |   |                                   |   |
| | e/position | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| +------------+-------------+   |                                   |   |
| | Number of  | \           |   |                                   |   |
| | years at   | _\_\_\_\_\_ |   |                                   |   |
| | this       | \_\_\_\_\_\ |   |                                   |   |
| | school:    | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| +------------+-------------+   |                                   |   |
| | Best days  | \           |   |                                   |   |
| | and times  | _\_\_\_\_\_ |   |                                   |   |
| | to reach   | \_\_\_\_\_\ |   |                                   |   |
| | you        | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| | (in case   | _\_\_\_\_\_ |   |                                   |   |
| | of         |             |   |                                   |   |
| | q          |             |   |                                   |   |
| | uestions): |             |   |                                   |   |
| +------------+-------------+   |                                   |   |
| | E-mail:    | \           |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| |            | \_\_\_\_\_\ |   |                                   |   |
| |            | _\_\_\_\_\_ |   |                                   |   |
| +------------+-------------+   |                                   |   |
+--------------------------------+-----------------------------------+---+

If you have any questions about this questionnaire, please contact us
at: **1-888-XXX-XXXX.**

**RETURN YOUR COMPLETED QUESTIONNAIRE TO:**

**U.S. Census Bureau**

Attn: School Survey on Crime and Safety

1201 E. 10^th^ Street, Jeffersonville, IN 47132-0001

According to the Paperwork Reduction Act of 1995, no persons are
required to respond to a collection of information unless such
collection displays a valid OMB control number. The valid OMB control
number for this information collection is XXXX-XXXX. Public reporting
burden for this collection of information is estimated to average 60
minutes, including the time for reviewing instructions, searching
existing data sources, gathering the data needed, and completing and
reviewing the collection of information. If you have any comments
concerning the accuracy of the time estimate or suggestions for
improving the survey instrument, please write to: U.S. Department of
Education, Washington, D.C. 20202-4651. If you have comments or concerns
regarding the status of your individual response to this survey, write
directly to: National Center for Education Statistics, 1990 K Street,
N.W., Room 9017, Washington, D.C. 20006.

**Definitions**

**The following words are highlighted in red text wherever they appear
in the questionnaire.**

**Please use these definitions as you respond.**

**At school / at your school** --- include activities happening in
school buildings, on school grounds, on school buses, and at places that
are holding school-sponsored events or activities. Unless otherwise
specified, only respond for those times that were normal school hours or
school activities/events were in session.

**Cult or extremist group** --- a group that espouses radical beliefs
and practices, which may include a religious component, that are widely
seen as threatening the basic values and cultural norms of society at
large.

**Firearm/explosive device** --- any weapon that is designed to (or may
readily be converted to) expel a projectile by the action of an
explosive. This includes guns, bombs, grenades, mines, rockets,
missiles, pipe bombs, or similar devices designed to explode and capable
of causing bodily harm or property damage.

**Gang** --- an ongoing loosely organized association of three or more
persons, whether formal or informal, that has a common name, signs,
symbols or colors, whose members engage, either individually or
collectively, in violent or other forms of illegal behavior.

**Hate crime** --- a criminal offense or threat against a person,
property, or society that is motivated, in whole or in part, by the
offender\'s bias against a race, color, national origin, ethnicity,
gender, religion, disability, or sexual orientation.

**Insubordination** --- a deliberate and inexcusable defiance of or
refusal to obey a school rule, authority, or a reasonable order. It
includes but is not limited to direct defiance of school authority,
failure to attend assigned detention or on-campus supervision, failure
to respond to a call slip, and physical or verbal intimidation/abuse.

**Physical attack or fight** --- an actual and intentional touching or
striking of another person against his or her will, or the intentional
causing of bodily harm to an individual.

**Rape** --- forced sexual intercourse (vaginal, anal, or oral
penetration). Includes penetration from a foreign object.

**Robbery** --- the taking or attempting to take anything of value that
is owned by another person or organization, under confrontational
circumstances by force or threat of force or violence and/or by putting
the victim in fear. A key difference between robbery and theft/larceny
is that robbery involves a threat or battery.

**School Resource Officers** --- career law enforcement officers with
arrest authority, who are assigned to work in collaboration with school
organizations.

**Sexual battery** --- an incident that includes threatened rape,
fondling, indecent liberties, child molestation, or sodomy.
Classification of these incidents should take into consideration the age
and developmentally appropriate behavior of the offender(s).

**Sexual harassment** --- unsolicited, offensive behavior that
inappropriately asserts sexuality over another person. The behavior may
be verbal or non-verbal.

**Special education student** --- a child with a disability, defined as
mental retardation, hearing impairments (including deafness), speech or
language impairments, visual impairments (including blindness), serious
emotional disturbance, orthopedic impairments, autism, traumatic brain
injury, other health impairments, or specific learning disabilities, and
who needs special education and related services and receives these
under the Individuals with Disabilities Education Act (IDEA).

**Specialized school** --- a school that is specifically for students
who were referred for disciplinary reasons. The school may also have
students who were referred for other reasons. The school may be at the
same location as your school.

**Theft/larceny (taking things over \$10 without personal
confrontation)** --- the unlawful taking of another person's property
without personal confrontation, threat, violence, or bodily harm.
Included are pocket picking, stealing purse or backpack (if left
unattended or no force was used to take it from owner), theft from a
building, theft from a motor vehicle or motor vehicle parts or
accessories, theft of bicycles, theft from vending machines, and all
other types of thefts.

**Vandalism** --- the willful damage or destruction of school property
including bombing, arson, graffiti, and other acts that cause property
damage. Includes damage caused by computer hacking.

**Violence** --- actual, attempted, or threatened fight or assault.

**Weapon** --- any instrument or object used with the intent to
threaten, injure, or kill. Includes look-alikes if they are used to
threaten others

**School practices and programs**

1.  **During the 2005--06 school year, was it a practice of your school
    to do the following?** (If your school changed its practices during
    the school year, please answer regarding your most recent practice.
    Check one response on each line.)

+----------------------------------------------------------+-----+-----+
|                                                          | *   | **N |
|                                                          | *YE | O** |
|                                                          | S** |     |
+----------------------------------------------------------+-----+-----+
| a.  Require visitors to sign or check in                 |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| b.  Control access to school buildings during school     |    |    |
|     hours (e.g., locked or monitored doors)              | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| c.  Control access to school grounds during school hours |    |    |
|     (e.g., locked or monitored gates)                    | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| d.  Require students to pass through metal detectors     |    |    |
|     each day                                             | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| e.  Require visitors to pass through metal detectors     |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| f.  Perform one or more random metal detector checks on  |    |    |
|     students                                             | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| g.  Close the campus for most students during lunch      |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| h.  Use one or more random dog sniffs to check for drugs |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| i.  Perform one or more random sweeps for contraband     |    |    |
|     (e.g., drugs or weapons), but not including dog      | ~1~ | ~2~ |
|     sniffs                                               |     |     |
+----------------------------------------------------------+-----+-----+
| j.  Require drug testing for athletes                    |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| k.  Require drug testing for students in                 |    |    |
|     extra-curricular activities other than athletics     | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| l.  Require drug testing for any other students          |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| m.  Require students to wear uniforms                    |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| n.  Enforce a strict dress code                          |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| o.  Provide school lockers to students                   |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| p.  Require clear book bags or ban book bags on school   |    |    |
|     grounds                                              | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| q.  Require students to wear badges or picture IDs       |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| r.  Require faculty and staff to wear badges or picture  |    |    |
|     IDs                                                  | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| s.  Use one or more security cameras to monitor the      |    |    |
|     school                                               | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| t.  Provide telephones in most classrooms                |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| u.  Provide two-way radios to any staff                  |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+
| v.  Prohibit all tobacco use on school grounds           |    |    |
|                                                          | ~1~ | ~2~ |
+----------------------------------------------------------+-----+-----+

2.  **Does your school have a written plan that describes procedures to
    be performed in the following crises? If yes, has your school
    drilled students on the use of this plan during the 2005--06 school
    year?**

> (In each row, please check whether you have a written plan. For every
> "Yes" answer, check whether your school has drilled students on the
> plan this year.)

+---------------------------------------+------+------+------+------+
|                                       | ###  |      | **If |      |
|                                       |      |      | "[   |      |
|                                       | ###  |      | Yes] |      |
|                                       |      |      | {.un |      |
|                                       | ###  |      | derl |      |
|                                       |      |      | ine} |      |
|                                       | ###  |      | ,"** |      |
|                                       | Have |      |      |      |
|                                       |  a w |      | *    |      |
|                                       | ritt |      | *has |      |
|                                       | en p |      | your |      |
|                                       | lan? |      | scho |      |
|                                       |      |      | ol** |      |
|                                       |      |      |      |      |
|                                       |      |      | *    |      |
|                                       |      |      | *dri |      |
|                                       |      |      | lled |      |
|                                       |      |      | stud |      |
|                                       |      |      | ents |      |
|                                       |      |      | on   |      |
|                                       |      |      | the  |      |
|                                       |      |      | plan |      |
|                                       |      |      | du   |      |
|                                       |      |      | ring |      |
|                                       |      |      | the  |      |
|                                       |      |      | 2005 |      |
|                                       |      |      | --06 |      |
|                                       |      |      | sc   |      |
|                                       |      |      | hool |      |
|                                       |      |      | yea  |      |
|                                       |      |      | r?** |      |
+---------------------------------------+------+------+------+------+
|                                       | **Y  | **   | **Y  | **   |
|                                       | ES** | NO** | ES** | NO** |
+---------------------------------------+------+------+------+------+
| a.  Shootings                         | ~1~ | ~2~ | ~1~ | ~2~ |
+---------------------------------------+------+------+------+------+
| b.  Natural disasters (e.g.,          | ~1~ | ~2~ | ~1~ | ~2~ |
|     earthquakes or tornadoes)         |      |      |      |      |
+---------------------------------------+------+------+------+------+
| c.  Hostages                          | ~1~ | ~2~ | ~1~ | ~2~ |
+---------------------------------------+------+------+------+------+
| d.  Bomb threats or incidents         | ~1~ | ~2~ | ~1~ | ~2~ |
+---------------------------------------+------+------+------+------+
| e.  Chemical, biological or           | ~1~ | ~2~ | ~1~ | ~2~ |
|     radiological threats or incidents |      |      |      |      |
|     (e.g., release of mustard gas,    |      |      |      |      |
|     anthrax, smallpox or radioactive  |      |      |      |      |
|     materials)                        |      |      |      |      |
+---------------------------------------+------+------+------+------+

3.  **During the 2005--06 school year, did your school have any formal
    programs intended to prevent or reduce violence that included the
    following components for students? If a program has multiple
    components, answer "yes" for each that applies.** (Check one
    response on each line.)

+------------------------------------------------------+-------+-------+
| ##                                                   | **    | *     |
|                                                      | YES** | *NO** |
+======================================================+=======+=======+
| a.  Prevention curriculum, instruction, or training  | ~1~  | ~2~  |
|     for students (e.g., social skills training)      |       |       |
+------------------------------------------------------+-------+-------+
| b.  Behavioral or behavior modification intervention | ~1~  | ~2~  |
|     for students                                     |       |       |
+------------------------------------------------------+-------+-------+
| c.  Counseling, social work, psychological, or       | ~1~  | ~2~  |
|     therapeutic activity for students                |       |       |
+------------------------------------------------------+-------+-------+
| d.  Individual attention/mentoring/tutoring/coaching | ~1~  | ~2~  |
|     of students by students or adults                |       |       |
+------------------------------------------------------+-------+-------+
| e.  Recreational, enrichment, or leisure activities  | ~1~  | ~2~  |
|     for students                                     |       |       |
+------------------------------------------------------+-------+-------+
| f.  Student involvement in resolving student conduct | ~1~  | ~2~  |
|     problems (e.g., conflict resolution or peer      |       |       |
|     mediation, student court)                        |       |       |
+------------------------------------------------------+-------+-------+
| g.  Programs to promote sense of community/social    | ~1~  | ~2~  |
|     integration among students                       |       |       |
+------------------------------------------------------+-------+-------+
| h.  Hotline/tipline for students to report problems  | ~1~  | ~2~  |
+------------------------------------------------------+-------+-------+

**Parent and community involvement at school**

1.  **Which of the following does your school do to involve or help
    parents?** (Check one response on each line.)

+------------------------------------------------------+-------+-------+
|                                                      | **    | *     |
|                                                      | YES** | *NO** |
+------------------------------------------------------+-------+-------+
| a.  Have a formal process to obtain parent input on  | ~1~  | ~2~  |
|     policies related to school crime and discipline  |       |       |
+------------------------------------------------------+-------+-------+
| b.  Provide training or technical assistance to      | ~1~  | ~2~  |
|     parents in dealing with students' problem        |       |       |
|     behavior                                         |       |       |
+------------------------------------------------------+-------+-------+
| c.  Have a program that involves parents at school   | ~1~  | ~2~  |
|     helping to maintain school discipline            |       |       |
+------------------------------------------------------+-------+-------+

1.  **What is your best estimate of the percentage of students who had
    at least one parent or guardian participating in the following
    events during the 2005--06 school year?**

> (Check one response on each line.)

+--------------------------------+-----+------+------+------+--------+
|                                | **0 | **   | **   | **7  | **     |
|                                | -25 | 26-5 | 51-7 | 6-10 | School |
|                                | %** | 0%** | 5%** | 0%** | does** |
|                                |     |      |      |      |        |
|                                |     |      |      |      | **not  |
|                                |     |      |      |      | o      |
|                                |     |      |      |      | ffer** |
+--------------------------------+-----+------+------+------+--------+
| a.  Open house or              |    | ~2~ | ~3~ | ~4~ | ~5~   |
|     back-to-school night       | ~1~ |      |      |      |        |
+--------------------------------+-----+------+------+------+--------+
| b.  Regularly scheduled        |    | ~2~ | ~3~ | ~4~ | ~5~   |
|     parent-teacher conferences | ~1~ |      |      |      |        |
+--------------------------------+-----+------+------+------+--------+
| c.  Special subject-area       |    | ~2~ | ~3~ | ~4~ | ~5~   |
|     events (e.g., science      | ~1~ |      |      |      |        |
|     fair, concerts)            |     |      |      |      |        |
+--------------------------------+-----+------+------+------+--------+
| d.  Volunteered at school or   |    | ~2~ | ~3~ | ~4~ | ~5~   |
|     served on a committee      | ~1~ |      |      |      |        |
+--------------------------------+-----+------+------+------+--------+

1.  **Were any of the following community and outside groups involved in
    your school's efforts to promote safe, disciplined, and drug-free
    schools?** (Check one response on each line.)

+-----------------------------------------------------+-------+-------+
|                                                     | ##    | *     |
|                                                     | # YES | *NO** |
+-----------------------------------------------------+-------+-------+
| a.  Parents groups                                  | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+
| b.  Social service agencies                         | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+
| c.  Juvenile justice agencies                       | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+
| d.  Law enforcement agencies                        | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+
| e.  Mental health agencies                          | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+
| f.  Civic organizations/service clubs               | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+
| g.  Private corporations and business               | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+
| h.  Religious organizations                         | ~1~  | ~2~  |
+-----------------------------------------------------+-------+-------+

7.  **During the 2005--06 school year, did you have any sworn law
    enforcement officers, security guards, or security personnel present
    at your school [at least once a week]{.underline}?**

> ~1~ Yes
>
> ~2~ No **\[SKIP to Question 12\]**

8.  **Were these sworn law enforcement officers, security guards, or
    security personnel used [at least once a week]{.underline} in or
    around your school at the following times?** (Check one response on
    each line.)

+--------------------------------------------------------+------+------+
|                                                        | ###  | **   |
|                                                        |  YES | NO** |
+--------------------------------------------------------+------+------+
| a.  At any time during school hours                    | ~1~ | ~2~ |
+--------------------------------------------------------+------+------+
| b.  While students were arriving or leaving            | ~1~ | ~2~ |
+--------------------------------------------------------+------+------+
| c.  At selected school activities (e.g., athletic and  | ~1~ | ~2~ |
|     social events, open houses, science fairs)         |      |      |
+--------------------------------------------------------+------+------+
| d.  When school/school activities not occurring        | ~1~ | ~2~ |
+--------------------------------------------------------+------+------+
| e\. Other (please specify)                             |      |      |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                   |      |      |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |      |      |
+--------------------------------------------------------+------+------+
|                                                        |      |      |
+--------------------------------------------------------+------+------+

1.  **How many of the following types of sworn law enforcement officers,
    security guards, or security personnel did you regularly have
    present in your school [at least once a week]{.underline}?** (If an
    officer works full-time across various schools in the district,
    please count this as 'part-time' for this school.)

+-----------------------------------------+-------------+-------------+
| ##                                      | When you    |             |
|                                         | have no     |             |
|                                         | such        |             |
|                                         | officer or  |             |
|                                         | guard,      |             |
|                                         | please      |             |
|                                         | record zero |             |
|                                         | \[0\].      |             |
+-----------------------------------------+-------------+-------------+
| ##                                      | Number of   | Number of   |
|                                         | full-time   | part-time   |
|                                         |             |             |
|                                         | at your     | at your     |
|                                         | school      | school      |
+-----------------------------------------+-------------+-------------+
| a.  Security guards or security         | **[\_\_\_\  | **[\_\_\_\  |
|     personnel (not law enforcement)     | _\_\_\_]{.u | _\_\_\_]{.u |
|                                         | nderline}** | nderline}** |
+-----------------------------------------+-------------+-------------+
| b.  School Resource Officers (Include   | **[\_\_\_\  | **[\_\_\_\  |
|     all career law enforcement officers | _\_\_\_]{.u | _\_\_\_]{.u |
|     with arrest authority, who are      | nderline}** | nderline}** |
|     assigned to work in collaboration   |             |             |
|     with school organizations.)         |             |             |
+-----------------------------------------+-------------+-------------+
| c.  Sworn law enforcement officers who  | **[\_\_\_\  | **[\_\_\_\  |
|     are [not]{.underline} School        | _\_\_\_]{.u | _\_\_\_]{.u |
|     Resource Officers                   | nderline}** | nderline}** |
+-----------------------------------------+-------------+-------------+

**10. Did any of the law enforcement officers, security guards, or
security personnel at your school routinely wear a uniform (or other
identifiable clothing) or carry a weapon during the times they were at
your school?** (Check [one]{.underline} response on each line.)

+--------------------------------------------------------+------+------+
| ##                                                     | **Y  | **   |
|                                                        | ES** | NO** |
+========================================================+======+======+
| a.  Uniformed, or in other identifiable clothing       | ~1~ | ~2~ |
+--------------------------------------------------------+------+------+
| b.  Armed with a stun gun (e.g., Taser gun)            | ~1~ | ~2~ |
+--------------------------------------------------------+------+------+
| c.  Armed with chemical aerosol sprays (e.g., Mace,    | ~1~ | ~2~ |
|     pepper spray, etc.)                                |      |      |
+--------------------------------------------------------+------+------+
| d.  Armed with a firearm                               | ~1~ | ~2~ |
+--------------------------------------------------------+------+------+

11. **Did these sworn law enforcement officers, security guards, or
    security personnel participate in the following activities at your
    school? (Check one response on each line.)**

+----+----------------------------------------------------+-----+-----+
|    |                                                    | #   | **N |
|    |                                                    | ##  | O** |
|    |                                                    | YES |     |
+----+----------------------------------------------------+-----+-----+
| a. |                                                    |    |    |
|    |                                                    | ~1~ | ~2~ |
| Se |                                                    |     |     |
| cu |                                                    |     |     |
| ri |                                                    |     |     |
| ty |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  e |                                                    |     |     |
| nf |                                                    |     |     |
| or |                                                    |     |     |
| ce |                                                    |     |     |
| me |                                                    |     |     |
| nt |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  a |                                                    |     |     |
| nd |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| pa |                                                    |     |     |
| tr |                                                    |     |     |
| ol |                                                    |     |     |
+----+----------------------------------------------------+-----+-----+
| b  |                                                    |    |    |
| .  |                                                    | ~1~ | ~2~ |
|  M |                                                    |     |     |
| ai |                                                    |     |     |
| nt |                                                    |     |     |
| ai |                                                    |     |     |
| ni |                                                    |     |     |
| ng |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| sc |                                                    |     |     |
| ho |                                                    |     |     |
| ol |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| di |                                                    |     |     |
| sc |                                                    |     |     |
| ip |                                                    |     |     |
| li |                                                    |     |     |
| ne |                                                    |     |     |
+----+----------------------------------------------------+-----+-----+
| c. |                                                    |    |    |
|    |                                                    | ~1~ | ~2~ |
| Co |                                                    |     |     |
| or |                                                    |     |     |
| di |                                                    |     |     |
| na |                                                    |     |     |
| ti |                                                    |     |     |
| on |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| wi |                                                    |     |     |
| th |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  l |                                                    |     |     |
| oc |                                                    |     |     |
| al |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| po |                                                    |     |     |
| li |                                                    |     |     |
| ce |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  a |                                                    |     |     |
| nd |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  e |                                                    |     |     |
| me |                                                    |     |     |
| rg |                                                    |     |     |
| en |                                                    |     |     |
| cy |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| te |                                                    |     |     |
| am |                                                    |     |     |
+----+----------------------------------------------------+-----+-----+
| d  |                                                    |    |    |
| .  |                                                    | ~1~ | ~2~ |
|  I |                                                    |     |     |
| de |                                                    |     |     |
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| if |                                                    |     |     |
| yi |                                                    |     |     |
| ng |                                                    |     |     |
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|    |                                                    |     |     |
| pr |                                                    |     |     |
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| le |                                                    |     |     |
| ms |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| in |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  t |                                                    |     |     |
| he |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
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| ol |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  a |                                                    |     |     |
| nd |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  p |                                                    |     |     |
| ro |                                                    |     |     |
| ac |                                                    |     |     |
| ti |                                                    |     |     |
| ve |                                                    |     |     |
| ly |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  s |                                                    |     |     |
| ee |                                                    |     |     |
| ki |                                                    |     |     |
| ng |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  s |                                                    |     |     |
| ol |                                                    |     |     |
| ut |                                                    |     |     |
| io |                                                    |     |     |
| ns |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| to |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  t |                                                    |     |     |
| ho |                                                    |     |     |
| se |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| pr |                                                    |     |     |
| ob |                                                    |     |     |
| le |                                                    |     |     |
| ms |                                                    |     |     |
+----+----------------------------------------------------+-----+-----+
| e. |                                                    |    |    |
|    |                                                    | ~1~ | ~2~ |
| Tr |                                                    |     |     |
| ai |                                                    |     |     |
| ni |                                                    |     |     |
| ng |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| te |                                                    |     |     |
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| he |                                                    |     |     |
| rs |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
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|    |                                                    |     |     |
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|  s |                                                    |     |     |
| ta |                                                    |     |     |
| ff |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
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|    |                                                    |     |     |
|    |                                                    |     |     |
| sc |                                                    |     |     |
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| ol |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| sa |                                                    |     |     |
| fe |                                                    |     |     |
| ty |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| or |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
|  c |                                                    |     |     |
| ri |                                                    |     |     |
| me |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| pr |                                                    |     |     |
| ev |                                                    |     |     |
| en |                                                    |     |     |
| ti |                                                    |     |     |
| on |                                                    |     |     |
+----+----------------------------------------------------+-----+-----+
| f  |                                                    |    |    |
| .  |                                                    | ~1~ | ~2~ |
|  M |                                                    |     |     |
| en |                                                    |     |     |
| to |                                                    |     |     |
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| ng |                                                    |     |     |
|    |                                                    |     |     |
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| st |                                                    |     |     |
| ud |                                                    |     |     |
| en |                                                    |     |     |
| ts |                                                    |     |     |
+----+----------------------------------------------------+-----+-----+
| g. |                                                    |    |    |
|    |                                                    | ~1~ | ~2~ |
| Te |                                                    |     |     |
| ac |                                                    |     |     |
| hi |                                                    |     |     |
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|    |                                                    |     |     |
|    |                                                    |     |     |
|  a |                                                    |     |     |
|    |                                                    |     |     |
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| on |                                                    |     |     |
|    |                                                    |     |     |
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|    |                                                    |     |     |
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|    |                                                    |     |     |
|    |                                                    |     |     |
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|    |                                                    |     |     |
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| .g |                                                    |     |     |
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| me |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| pr |                                                    |     |     |
| ev |                                                    |     |     |
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| ti |                                                    |     |     |
| on |                                                    |     |     |
|    |                                                    |     |     |
|    |                                                    |     |     |
| co |                                                    |     |     |
| ur |                                                    |     |     |
| se |                                                    |     |     |
| s) |                                                    |     |     |
+----+----------------------------------------------------+-----+-----+

**Staff training**

**12. During the 2005--06 school year, which of the following trainings
for classroom teachers or aides did your school or district provide?
(Check one response on each line.)**

+---------------------------------------------------------+-----+-----+
|                                                         | *   | **N |
|                                                         | *YE | O** |
|                                                         | S** |     |
+---------------------------------------------------------+-----+-----+
| a.  Classroom management for teachers                   |    |    |
|                                                         | ~1~ | ~2~ |
+---------------------------------------------------------+-----+-----+
| b.  School-wide discipline policies and practices       |    |    |
|     related to violence, alcohol and/or drug use        | ~1~ | ~2~ |
+---------------------------------------------------------+-----+-----+
| c.  Safety procedures                                   |    |    |
|                                                         | ~1~ | ~2~ |
+---------------------------------------------------------+-----+-----+
| d.  Recognizing early warning signs of students likely  |    |    |
|     to exhibit violent behavior                         | ~1~ | ~2~ |
+---------------------------------------------------------+-----+-----+
| e.  Recognizing signs of students using/abusing alcohol |    |    |
|     and/or drugs                                        | ~1~ | ~2~ |
+---------------------------------------------------------+-----+-----+
| f.  Positive behavioral intervention strategies         |    |    |
|                                                         | ~1~ | ~2~ |
+---------------------------------------------------------+-----+-----+

######### Limitations on crime prevention

**13. To what extent did the following factors limit your school's
efforts to reduce or prevent crime?**

**(Check one response on each line.)**

+---------------------------------------------+-------+-------+-------+
|                                             | **    | **    | *     |
|                                             | Limit | Limit | *Does |
|                                             | in    | in    | not   |
|                                             | major | minor | li    |
|                                             | way** | way** | mit** |
+---------------------------------------------+-------+-------+-------+
| a.  Lack of or inadequate teacher training  | ~1~  | ~2~  | ~3~  |
|     in classroom management                 |       |       |       |
+---------------------------------------------+-------+-------+-------+
| b.  Lack of or inadequate alternative       | ~1~  | ~2~  | ~3~  |
|     placements/programs for disruptive      |       |       |       |
|     students                                |       |       |       |
+---------------------------------------------+-------+-------+-------+
| c.  Likelihood of complaints from parents   | ~1~  | ~2~  | ~3~  |
+---------------------------------------------+-------+-------+-------+
| d.  Lack of teacher support for school      | ~1~  | ~2~  | ~3~  |
|     policies                                |       |       |       |
+---------------------------------------------+-------+-------+-------+
| e.  Lack of parental support for school     | ~1~  | ~2~  | ~3~  |
|     policies                                |       |       |       |
+---------------------------------------------+-------+-------+-------+
| f.  Teachers' fear of student retaliation   | ~1~  | ~2~  | ~3~  |
+---------------------------------------------+-------+-------+-------+
| g.  Fear of litigation                      | ~1~  | ~2~  | ~3~  |
+---------------------------------------------+-------+-------+-------+
| h.  Inadequate funds                        | ~1~  | ~2~  | ~3~  |
+---------------------------------------------+-------+-------+-------+
| i.  Inconsistent application of school      | ~1~  | ~2~  | ~3~  |
|     policies by faculty or staff            |       |       |       |
+---------------------------------------------+-------+-------+-------+
| j.  Fear of district or state reprisal      | ~1~  | ~2~  | ~3~  |
+---------------------------------------------+-------+-------+-------+
| k.  Federal, state, or district policies on | ~1~  | ~2~  | ~3~  |
|     disciplining special education students |       |       |       |
+---------------------------------------------+-------+-------+-------+
| l.  Other federal policies on discipline    | ~1~  | ~2~  | ~3~  |
|     and safety                              |       |       |       |
+---------------------------------------------+-------+-------+-------+
| m.  Other state or district policies on     | ~1~  | ~2~  | ~3~  |
|     discipline and safety                   |       |       |       |
+---------------------------------------------+-------+-------+-------+

**Frequency of crime and violence at school**

**14. During the 2005--06 school year, did any of your school's
students, faculty, or staff die as a result of a homicide committed at
your school?** (Check one response.)

> ~1~ Yes
>
> ~2~ No

**15. During the 2005--06 school year, has there been at least one
incident at your school that involved a shooting (whether or not anyone
was hurt)? Please include those incidents that occurred at school,
whether or not a student or non-student used the firearm.** (Check one
response.)

> ~1~ Yes
>
> ~2~ No

# Number of incidents

**16. Please provide the number of *incidents* your school recorded
during the 2005--06 school year for the offenses listed below.** Please
provide information on:

-   The number of incidents, not the number of victims or offenders.

-   Recorded incidents, regardless of whether any disciplinary action
    was taken.

-   Recorded incidents, regardless of whether students or non-students
    were involved.

-   Incidents occurring before, during, or after normal school hours.

-   Only the most serious offense when an incident involved multiple
    offenses. For example, if an incident included a rape and robbery,
    include the incident only under rape. The list below does not
    necessarily dictate the order of seriousness. Use your own judgment
    when determining which is the most serious offense.

+-----------------------------------+----------------+-----------------+
| ##                                | If there were  |                 |
|                                   | no such        |                 |
| ##                                | incidents in   |                 |
|                                   | your school's  |                 |
|                                   | records,       |                 |
|                                   | please record  |                 |
|                                   | zero \[0\].    |                 |
+-----------------------------------+----------------+-----------------+
|                                   | Total number   | Number reported |
|                                   |                | to police or    |
|                                   | of recorded    | other law       |
|                                   | incidents      | enforcement     |
+-----------------------------------+----------------+-----------------+
| a.  Rape or attempted rape        | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| b.  Sexual battery other than     | **             | **[\_\_\_\_\_\_ |
|     rape (include threatened      | [\_\_\_\_\_\_] | ]{.underline}** |
|     rape)                         | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| c.  Robbery (taking things by     |                |                 |
|     force)                        |                |                 |
+-----------------------------------+----------------+-----------------+
| > i\. With a weapon               | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| > ii\. Without a weapon           | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| d.  Physical attack or fight      |                |                 |
+-----------------------------------+----------------+-----------------+
| > i\. With a weapon               | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| > ii\. Without a weapon           | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| e.  Threats of physical attack    |                |                 |
+-----------------------------------+----------------+-----------------+
| > i\. With a weapon               | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| > ii\. Without a weapon           | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| f.  Theft/larceny (taking things  | **             | **[\_\_\_\_\_\_ |
|     over \$10 without personal    | [\_\_\_\_\_\_] | ]{.underline}** |
|     confrontation)                | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| g.  Possession of                 | **             | **[\_\_\_\_\_\_ |
|     firearm/explosive device      | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| h.  Possession of knife or sharp  | **             | **[\_\_\_\_\_\_ |
|     object                        | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| i.  Distribution, possession, or  | **             | **[\_\_\_\_\_\_ |
|     use of illegal drugs          | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| j.  Distribution, possession, or  | **             | **[\_\_\_\_\_\_ |
|     use of alcohol                | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+
| k.  Vandalism                     | **             | **[\_\_\_\_\_\_ |
|                                   | [\_\_\_\_\_\_] | ]{.underline}** |
|                                   | {.underline}** |                 |
+-----------------------------------+----------------+-----------------+

**17. During the 2005--06 school year, how many of the following
occurred?** (If no such incident occurred, please record zero \[0\]).

+---+----------------------------------------------+----------------------+
|   | ##                                           | Total number         |
|   |                                              |                      |
|   | ##                                           |                      |
+---+----------------------------------------------+----------------------+
| a |                                              | **[\_\_\_\           |
| . |                                              | _\_\_]{.underline}** |
|   |                                              |                      |
|   |                                              |                      |
| H |                                              |                      |
| a |                                              |                      |
| t |                                              |                      |
| e |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
| c |                                              |                      |
| r |                                              |                      |
| i |                                              |                      |
| m |                                              |                      |
| e |                                              |                      |
+---+----------------------------------------------+----------------------+
| b |                                              | **[\_\_\_\           |
| . |                                              | _\_\_]{.underline}** |
|   |                                              |                      |
|   |                                              |                      |
| G |                                              |                      |
| a |                                              |                      |
| n |                                              |                      |
| g |                                              |                      |
| - |                                              |                      |
| r |                                              |                      |
| e |                                              |                      |
| l |                                              |                      |
| a |                                              |                      |
| t |                                              |                      |
| e |                                              |                      |
| d |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
| c |                                              |                      |
| r |                                              |                      |
| i |                                              |                      |
| m |                                              |                      |
| e |                                              |                      |
+---+----------------------------------------------+----------------------+
| c |                                              | **[\_\_\_\           |
| . |                                              | _\_\_]{.underline}** |
|   |                                              |                      |
|   |                                              |                      |
| G |                                              |                      |
| a |                                              |                      |
| n |                                              |                      |
| g |                                              |                      |
| - |                                              |                      |
| r |                                              |                      |
| e |                                              |                      |
| l |                                              |                      |
| a |                                              |                      |
| t |                                              |                      |
| e |                                              |                      |
| d |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
| h |                                              |                      |
| a |                                              |                      |
| t |                                              |                      |
| e |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
|   |                                              |                      |
| c |                                              |                      |
| r |                                              |                      |
| i |                                              |                      |
| m |                                              |                      |
| e |                                              |                      |
+---+----------------------------------------------+----------------------+

**18. How many times during the 2005--06 school year were activities
disrupted by [unplanned]{.underline} fire alarms (i.e., false alarms)?**
(If no such incident occurred, please record zero \[0\].)

> Number of
>
> unplanned fire alarms **[\_\_\_\_\_\_\_\_\_\_]{.underline}**

1.  **Excluding planned and unplanned fire alarms, how many times during
    the 2005--06 school year were activities disrupted by
    [other]{.underline} actions such as death threats, bomb threats, or
    chemical, biological, or radiological threats? .** (If no such
    incident occurred, please record zero \[0\].)

> Number of disruptions **[\_\_\_\_\_\_\_\_\_\_]{.underline}**
>
> **Disciplinary problems and actions**

1.  **To the best of your knowledge, how often did the following types
    of problems occur at your school?** (Check one response on each
    line.)

  ---------------------- ----------- ----------- ----------- ------------ -----------
                         **Happens   **Happens   **Happens   **Happens on **Never
                         daily**     at least    at least    occasion**   happens**
                                     once a      once a                   
                                     week**      month**                  

  a\. Student            ~1~        ~2~        ~3~        ~4~         ~5~
  racial/ethnic tensions                                                  

  b\. Student bullying   ~1~        ~2~        ~3~        ~4~         ~5~

  c\. Student sexual     ~1~        ~2~        ~3~        ~4~         ~5~
  harassment of other                                                     
  students                                                                

  d\. Student verbal     ~1~        ~2~        ~3~        ~4~         ~5~
  abuse of teachers                                                       

  e\. Widespread         ~1~        ~2~        ~3~        ~4~         ~5~
  disorder in classrooms                                                  

  f\. Student acts of    ~1~        ~2~        ~3~        ~4~         ~5~
  disrespect for                                                          
  teachers                                                                

  g\. Gang activities    ~1~        ~2~        ~3~        ~4~         ~5~

  h\. Cult or extremist  ~1~        ~2~        ~3~        ~4~         ~5~
  group activities                                                        
  ---------------------- ----------- ----------- ----------- ------------ -----------

1.  **During the 2005--06 school year, did your school allow for the use
    of the following disciplinary actions? If yes, were the actions used
    this school year?** (In each row, please check whether your school
    allows for each action. For every "Yes" answer, please check whether
    the action was used for this year.)

+-----------------------------------------------+-----+-----+----+----+
| ###### Disciplinary Action                    | **D |     | ** |    |
|                                               | oes |     | If |    |
|                                               | y   |     | "[ |    |
|                                               | our |     | Ye |    |
|                                               | sch |     | s] |    |
|                                               | ool |     | {. |    |
|                                               | al  |     | un |    |
|                                               | low |     | de |    |
|                                               | for |     | rl |    |
|                                               | use |     | in |    |
|                                               | of  |     | e} |    |
|                                               | the |     | ," |    |
|                                               | fol |     | ** |    |
|                                               | low |     |    |    |
|                                               | ing |     | *  |    |
|                                               | ?** |     | *w |    |
|                                               |     |     | as |    |
|                                               |     |     | t  |    |
|                                               |     |     | he |    |
|                                               |     |     | ac |    |
|                                               |     |     | ti |    |
|                                               |     |     | on |    |
|                                               |     |     | us |    |
|                                               |     |     | ed |    |
|                                               |     |     | th |    |
|                                               |     |     | is |    |
|                                               |     |     | sc |    |
|                                               |     |     | ho |    |
|                                               |     |     | ol |    |
|                                               |     |     | y  |    |
|                                               |     |     | ea |    |
|                                               |     |     | r? |    |
|                                               |     |     | ** |    |
+-----------------------------------------------+-----+-----+----+----+
|                                               | *   | **N | *  | ** |
|                                               | *YE | O** | *Y | NO |
|                                               | S** |     | ES | ** |
|                                               |     |     | ** |    |
+-----------------------------------------------+-----+-----+----+----+
| a.  Removal with no continuing school         |    |    | ~ | ~ |
|     services for at least remainder of school | ~1~ | ~2~ | 1~ | 2~ |
|     year                                      |     |     |    |    |
+-----------------------------------------------+-----+-----+----+----+
| b.  Removal with school-provided              |    |    | ~ | ~ |
|     tutoring/at-home instruction for at least | ~1~ | ~2~ | 1~ | 2~ |
|     remainder of school year                  |     |     |    |    |
+-----------------------------------------------+-----+-----+----+----+
| c.  Transfer to specialized school for        |    |    | ~ | ~ |
|     disciplinary reasons                      | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| d.  Transfer to another regular school for    |    |    | ~ | ~ |
|     disciplinary reasons                      | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| e.  Out-of-school suspension or removal for   |    |    | ~ | ~ |
|     less than the remainder of the school     | ~1~ | ~2~ | 1~ | 2~ |
|     year with no curriculum/services provided |     |     |    |    |
+-----------------------------------------------+-----+-----+----+----+
| f.  Out-of-school suspension or removal for   |    |    | ~ | ~ |
|     less than the remainder of the school     | ~1~ | ~2~ | 1~ | 2~ |
|     year with curriculum/services provided    |     |     |    |    |
+-----------------------------------------------+-----+-----+----+----+
| g.  In school suspension for less than the    |    |    | ~ | ~ |
|     remainder of the school year with no      | ~1~ | ~2~ | 1~ | 2~ |
|     curriculum/services provided              |     |     |    |    |
+-----------------------------------------------+-----+-----+----+----+
| h.  In school suspension for less than the    |    |    | ~ | ~ |
|     remainder of the school year with         | ~1~ | ~2~ | 1~ | 2~ |
|     curriculum/services provided              |     |     |    |    |
+-----------------------------------------------+-----+-----+----+----+
| i.  Referral to school counselor              |    |    | ~ | ~ |
|                                               | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| j.  Assigned to program designed to reduce    |    |    | ~ | ~ |
|     disciplinary problems during school hours | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| k.  Assigned to program designed to reduce    |    |    | ~ | ~ |
|     disciplinary problems outside of school   | ~1~ | ~2~ | 1~ | 2~ |
|     hours                                     |     |     |    |    |
+-----------------------------------------------+-----+-----+----+----+
| l.  Kept off school bus due to misbehavior    |    |    | ~ | ~ |
|                                               | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| m.  Corporal punishment                       |    |    | ~ | ~ |
|                                               | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| n.  Put on school probation with threatened   |    |    | ~ | ~ |
|     consequences if another incident occurs   | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| o.  Detention and/or Saturday school          |    |    | ~ | ~ |
|                                               | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| p.  Loss of student privileges                |    |    | ~ | ~ |
|                                               | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+
| q.  Require participation in community        |    |    | ~ | ~ |
|     service                                   | ~1~ | ~2~ | 1~ | 2~ |
+-----------------------------------------------+-----+-----+----+----+

22. **During the 2005--06 school year, how many students were involved
    in committing the following offenses, and how many of the following
    disciplinary actions were taken in response?**

-   If more than one student was involved in an incident, please count
    each student separately when providing the number of disciplinary
    actions.

```{=html}
<!-- -->
```
-   If a student was disciplined more than once, please count each
    offense separately (e.g., a student who was suspended five times
    would be counted as five suspensions).

```{=html}
<!-- -->
```
-   However, if a student was disciplined in two different ways for a
    single infraction (e.g., the student was both suspended and referred
    to counseling), count only the most severe disciplinary action that
    was taken.

+---+-------------------+---------+--------+---------+---------+---------+
|   | ##                | *If     |        |         |         |         |
|   |                   | there   |        |         |         |         |
|   |                   | are no  |        |         |         |         |
|   |                   | such    |        |         |         |         |
|   |                   | o       |        |         |         |         |
|   |                   | ffenses |        |         |         |         |
|   |                   | or      |        |         |         |         |
|   |                   | disci   |        |         |         |         |
|   |                   | plinary |        |         |         |         |
|   |                   | actions |        |         |         |         |
|   |                   | in your |        |         |         |         |
|   |                   | s       |        |         |         |         |
|   |                   | chool's |        |         |         |         |
|   |                   | r       |        |         |         |         |
|   |                   | ecords, |        |         |         |         |
|   |                   | please  |        |         |         |         |
|   |                   | record  |        |         |         |         |
|   |                   | zero    |        |         |         |         |
|   |                   | \[0\].* |        |         |         |         |
+---+-------------------+---------+--------+---------+---------+---------+
| O |                   | Total   | Re     | Tr      | Out-of  | Other   |
| f |                   | s       | movals | ansfers | -school | disci   |
| f |                   | tudents | with   | to      | susp    | plinary |
| e |                   | i       | no     | spec    | ensions | action  |
| n |                   | nvolved | cont   | ialized | lasting | (e.g.,  |
| s |                   | in      | inuing | schools | 5 or    | sus     |
| e |                   | r       | school |         | more    | pension |
|   |                   | ecorded | se     |         | days,   | less    |
|   |                   | o       | rvices |         | but     | than 5  |
|   |                   | ffenses | for at |         | less    | days,   |
|   |                   | (reg    | least  |         | than    | det     |
|   |                   | ardless | the    |         | the     | ention, |
|   |                   | of      | rem    |         | re      | etc.)   |
|   |                   | disci   | ainder |         | mainder |         |
|   |                   | plinary | of the |         | of the  |         |
|   |                   | action) | school |         | school  |         |
|   |                   |         | year   |         | year    |         |
+---+-------------------+---------+--------+---------+---------+---------+
| a |                   | **[\    | **     | **[\    | **[\    | **[\    |
| . |                   | _\_\_\_ | [\_\_\ | _\_\_\_ | _\_\_\_ | _\_\_\_ |
|   |                   | \_\_\_] | _\_\_\ | \_\_\_] | \_\_\_] | \_\_\_] |
|   |                   | {.under | _\_]{. | {.under | {.under | {.under |
| U |                   | line}** | underl | line}** | line}** | line}** |
| s |                   |         | ine}** |         |         |         |
| e |                   |         |        |         |         |         |
| / |                   |         |        |         |         |         |
| p |                   |         |        |         |         |         |
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+---+-------------------+---------+--------+---------+---------+---------+
| b |                   | **[\    | **     | **[\    | **[\    | **[\    |
| . |                   | _\_\_\_ | [\_\_\ | _\_\_\_ | _\_\_\_ | _\_\_\_ |
|   |                   | \_\_\_] | _\_\_\ | \_\_\_] | \_\_\_] | \_\_\_] |
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+---+-------------------+---------+--------+---------+---------+---------+
| c |                   | **[\    | **     | **[\    | **[\    | **[\    |
| . |                   | _\_\_\_ | [\_\_\ | _\_\_\_ | _\_\_\_ | _\_\_\_ |
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+---+-------------------+---------+--------+---------+---------+---------+
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+---+-------------------+---------+--------+---------+---------+---------+
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+---+-------------------+---------+--------+---------+---------+---------+
| f |                   | **[\    | **     | **[\    | **[\    | **[\    |
| . |                   | _\_\_\_ | [\_\_\ | _\_\_\_ | _\_\_\_ | _\_\_\_ |
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| n |                   |         |        |         |         |         |
+---+-------------------+---------+--------+---------+---------+---------+

1.  **During the 2005--06 school year, how many students were removed
    from your school without continuing services for at least the
    remainder of the school year or transferred to a specialized school
    for disciplinary reasons?** (If no such removals or transfers
    occurred, please record a zero \[0\].)

+------------------------------------------------+---------------------+
|                                                | If no such removals |
|                                                | or transfers        |
|                                                | occurred, please    |
|                                                | record zero \[0\].  |
+------------------------------------------------+---------------------+
|                                                | **Total number**    |
+------------------------------------------------+---------------------+
| a.  How many students were removed from your   | **[\_\_\_\_\_       |
|     school without continuing services for at  | \_\_]{.underline}** |
|     least the remainder of the school year     |                     |
|     [for disciplinary reasons]{.underline}?    |                     |
+------------------------------------------------+---------------------+
| b.  How many students were transferred to      | **[\_\_\_\_\_       |
|     specialized schools [for disciplinary      | \_\_]{.underline}** |
|     reasons]{.underline}?                      |                     |
+------------------------------------------------+---------------------+

**School characteristics: 2005--06 school year**

1.  **As of October 1, 2005, what was the total enrollment at your
    school?**

**[\_\_\_\_\_\_\_ \_\_]{.underline}** students

25\. What percentage of your current students fit the following
criteria?

+----+-------------------------------------------------+---------------+
|    |                                                 | ### Percen    |
|    |                                                 | t of students |
+----+-------------------------------------------------+---------------+
| a. |                                                 | [\_           |
|    |                                                 | \_\_\_\_\_\_] |
| El |                                                 | {.underline}% |
| ig |                                                 |               |
| ib |                                                 |               |
| le |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
|  f |                                                 |               |
| or |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
| fr |                                                 |               |
| ee |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
| or |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
|  r |                                                 |               |
| ed |                                                 |               |
| uc |                                                 |               |
| ed |                                                 |               |
| -p |                                                 |               |
| ri |                                                 |               |
| ce |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
|  l |                                                 |               |
| un |                                                 |               |
| ch |                                                 |               |
+----+-------------------------------------------------+---------------+
| b  |                                                 | [\_           |
| .  |                                                 | \_\_\_\_\_\_] |
|  L |                                                 | {.underline}% |
| im |                                                 |               |
| it |                                                 |               |
| ed |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
|  E |                                                 |               |
| ng |                                                 |               |
| li |                                                 |               |
| sh |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
| pr |                                                 |               |
| of |                                                 |               |
| ic |                                                 |               |
| ie |                                                 |               |
| nt |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
|  ( |                                                 |               |
| LE |                                                 |               |
| P) |                                                 |               |
+----+-------------------------------------------------+---------------+
| c  |                                                 | [\_           |
| .  |                                                 | \_\_\_\_\_\_] |
|  S |                                                 | {.underline}% |
| pe |                                                 |               |
| ci |                                                 |               |
| al |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
|  e |                                                 |               |
| du |                                                 |               |
| ca |                                                 |               |
| ti |                                                 |               |
| on |                                                 |               |
|    |                                                 |               |
|    |                                                 |               |
| st |                                                 |               |
| ud |                                                 |               |
| en |                                                 |               |
| ts |                                                 |               |
+----+-------------------------------------------------+---------------+
| d. |                                                 | [\_           |
|    |                                                 | \_\_\_\_\_\_] |
| Ma |                                                 | {.underline}% |
| le |                                                 |               |
+----+-------------------------------------------------+---------------+

1.  **What is your best estimate of the percentage of your current
    students who are the following?**

+------------------------------------------------------+---------------+
|                                                      | ### Percen    |
|                                                      | t of students |
+------------------------------------------------------+---------------+
| a\. Below the 15^th^ percentile on standardized      | [\_           |
| tests                                                | \_\_\_\_\_\_] |
|                                                      | {.underline}% |
+------------------------------------------------------+---------------+
| b\. Likely to go to college after high school        | [\_           |
|                                                      | \_\_\_\_\_\_] |
|                                                      | {.underline}% |
+------------------------------------------------------+---------------+
| c\. Consider academic achievement to be very         | [\_           |
| important                                            | \_\_\_\_\_\_] |
|                                                      | {.underline}% |
+------------------------------------------------------+---------------+

1.  **How many classroom changes do most students make in a typical
    day?**

> (Count going to lunch and then returning to the same or a different
> classroom as two classroom changes. Do not count morning arrival or
> afternoon departure.)

Typical number of classroom changes
**[\_\_\_\_\_\_\_\_\_\_]{.underline}**

1.  **How many paid staff are at your school in the following
    categories?** (If no such staff, please record zero \[0\].)

+---+-----------------------------------+---------------+---------------+
|   | ##                                | Number of     | Number of     |
|   |                                   | full-time     | part-time     |
+---+-----------------------------------+---------------+---------------+
| a |                                   | [\            | [\            |
| . |                                   | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|   |                                   | ]{.underline} | ]{.underline} |
|   |                                   |               |               |
| S |                                   |               |               |
| p |                                   |               |               |
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| l |                                   |               |               |
|   |                                   |               |               |
|   |                                   |               |               |
|   |                                   |               |               |
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| d |                                   |               |               |
| u |                                   |               |               |
| c |                                   |               |               |
| a |                                   |               |               |
| t |                                   |               |               |
| i |                                   |               |               |
| o |                                   |               |               |
| n |                                   |               |               |
|   |                                   |               |               |
|   |                                   |               |               |
|   |                                   |               |               |
|   |                                   |               |               |
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| a |                                   |               |               |
| c |                                   |               |               |
| h |                                   |               |               |
| e |                                   |               |               |
| r |                                   |               |               |
| s |                                   |               |               |
+---+-----------------------------------+---------------+---------------+
| b |                                   | [\            | [\            |
| . |                                   | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|   |                                   | ]{.underline} | ]{.underline} |
|   |                                   |               |               |
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| s |                                   |               |               |
+---+-----------------------------------+---------------+---------------+
| c |                                   | [\            | [\            |
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|   |                                   | ]{.underline} | ]{.underline} |
|   |                                   |               |               |
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+---+-----------------------------------+---------------+---------------+
| d |                                   | [\            | [\            |
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|   |                                   | ]{.underline} | ]{.underline} |
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+---+-----------------------------------+---------------+---------------+
| e |                                   | [\            | [\            |
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+---+-----------------------------------+---------------+---------------+

1.  **How would you describe the crime level in the area(s) in which
    your students live?\
    **(Check only one response.)

> ~1~ High level of crime
>
> ~2~ Moderate level of crime
>
> ~3~ Low level of crime
>
> ~4~ Students come from areas with very different levels of crime

1.  **How would you describe the crime level in the area where your
    school is located?\
    **(Check only one response.)

> ~1~ High level of crime
>
> ~2~ Moderate level of crime
>
> ~3~ Low level of crime

1.  **Which of the following best describes your school?** (Check one
    response.)

> ~1~ Regular public school
>
> ~2~ Charter school
>
> ~3~ Have magnet program for part of school
>
> ~4~ Totally a magnet school
>
> ~5~ Other (please specify):
> **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

1.  **What is your school's average daily attendance?**

**[\_\_\_\_\_\_\_\_\_\_]{.underline}** % of students present

1.  **During the 2005--06 school year, how many students transferred to
    or from your school after the school year had started? Please report
    on the total mobility, not just transfers due to disciplinary
    actions.** (If a student transferred more than once in the school
    year, count each transfer separately. If no transfers, please record
    zero \[0\].)

```{=html}
<!-- -->
```
1.  **Please provide the following dates.**

+---------------------------------------------+------------------------+
| a.  Starting date for your 2005--06         | [\| \|                 |
|     academic school year                    | \|]{.underline}/[\| \| |
|                                             | \|]{.underline}/2005   |
+---------------------------------------------+------------------------+
| b.  Ending date for your 2005--06 academic  | [\| \|                 |
|     school year                             | \|]{.underline}/[\| \| |
|                                             | \|]{.underline}/2006   |
+---------------------------------------------+------------------------+
| c.  Date you completed the questionnaire    | [\| \|                 |
|                                             | \|]{.underline}/[\| \| |
|                                             | \|]{.underline}/2006   |
+---------------------------------------------+------------------------+