IDDAW Public High School Driver Education Reporting Form
This form is for educators. Once the campaign is completed, please compile data for your school and and report your the school's cumulative results within this activity tracking form.
Email address *
In what county is your school located? *
What is the name of your school? (please spell it out) *
How many students are in your school? *
Approximately how many students are in your driver education program per year? (Fall+Spring+Summer) *
Please enter the estimated total number of minutes of class time dedicated to the topic of distracted driving in all of your driver education classes this semester. (please enter minutes, not hours) *
How many posters and signs have been placed around the school? *
How many school announcements have been made? *
If you sent a mass email to families, how many families were reached? *
If you sent mailers home to families, how many families were reached? *
How many flyers were distributed at sporting events, parent nights, in the cafeteria, and/or in the class rooms? *
How many banners were displayed around the school/community? *
Was the topic/event covered in your school news program? *
Is information regarding distracted driving on your teacher/department/school webpage? *
Was the topic/event covered in your school newspaper? *
Was the event covered by your local newspaper? *
Was the event covered by your local radio station? *
Was the event covered by your local television station? *
How many students created posters? *
How many students created radio ads or made announcements? *
How many students handed out resources to peers or people in the community? *
How many parent/student pledges against distracted driving were signed? *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Indian Prairie School District.