Registration

Please provide the following contact information:

First name
Last name
School/Agency
School District
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Choose one of the following:

Parent Teacher Student School Counselor School District Title IV Coordinator Non Profit Representative Community Coalition Partner Business Partner Prevention Agency Representative DARE Officer School Resource Officer/Officer on Campus Other Police Agency Representative Red Ribbon Vendor Other

Have you been to the RRC site before?

Yes No Unsure

If yes, did you register?

Yes No Unsure Not Applicable

If you visited the RRC site last year, did you go through the online workshop?

Yes No Unsure Not Applicable

Number of Students

Number of Teachers

Is this your first time coordinating Red Ribbon?

Yes No

If you have coordinated Red Ribbon before, please tell us how many years you have done so.

Have you ever received any training (besides the RRC website) to help you coordinate Red Ribbon Week?

Yes No

If yes, please describe any Red Ribbon training workshops/classes you have attended, include when it was, where it was, and who hosted it.

Have you ever attended any other prevention training workshops?

Yes No

If yes, please describe the type of training you have received.

When you agreed to coordinate Red Ribbon, were you given any resources, notebooks or directions to help you get started?

Yes No

If yes, please describe those resources.

When was the first National Red Ribbon Week was observed?

What is the name of the person that the first Red Ribbon Week was in honor of?

Can you briefly describe the events that led to the first Red Ribbon?

What is the Red Ribbon Pledge?

In your own words, what do you think the role of Red Ribbon Week is - what is it intended to do?

Describe the prevention activities that take place at your SCHOOL as part of the Red Ribbon Celebration.

Describe the prevention activities that take place in your COMMUNITY as part of the Red Ribbon Celebration.

In prevention, there are "Six Primary Prevention Strategies" that can help you develop a more meaningful prevention awareness campaign.  While each of you enter this site with varied levels of experience in prevention, our goal (through this website) is to help you develop a better understanding of these strategies. 

Below we have listed each of the six strategies, and we want you to rate how prepared you feel you are RIGHT NOW to include these strategies in your planning efforts.

We have developed a scale of 1 to 4 for you to use to tell us how prepared you feel to implement each strategy.

We view Red Ribbon as the kick off to a year of prevention at our schools and in our communities. With that in mind, please describe/list the other prevention programs, activities, and events that occur at your school or in your community throughout the year.

List two goals that you would like to achieve while developing and implementing your school/community Red Ribbon Celebration.

What assistance do you feel you need to develop and host a meaningful Red Ribbon Celebration at your school or in your community?

Are you interested in receiving our Red Ribbon Copy and Use forms?  Note: If you select yes, we will email you a link after you complete this survey.  Please check to be sure that your email address is correct before you submit this form. 

Yes No