The purpose of this survey is to gather information about effective dropout prevention programs.
Completing this survey enables your program to be included in the National Dropout Prevention Center's
database of effective programs.
This survey should take approximately 20 minutes to complete.
Please read each question and enter the response that most closely matches your dropout prevention program.
While taking the survey, you may scroll up or down to change any responses prior to submitting your program.
You may wish to check your responses, as you will not be able to change them once you have finished the survey.
Please make sure to finish the survey, as we cannot include incomplete survey responses in the database.
Other (please specify, separate multiple items with commas)
Other sources (please specify, separate multiple items with commas)
Other Intervention Staff Involved
We have identified 15 effective strategies that have the most positive impact on the dropout rate. These
strategies have been implemented successfully at all education levels and environments throughout the
This section addresses the effective strategies utilized by your program.
See Descriptions of the Effective Strategies
Evaluation of Effectiveness of the Program: To be considered to have moderate or strong evidence of
effectiveness, we must see a copy of a recent evaluation of your program. Please provide a link in
the box below where you are asked to provide a URL link, or send a Word or pdf attachment in an email to firstname.lastname@example.org. Please include
the subject line "Model Programs Database: Evaluation" and the name of your program.
This section concerns risk factors addressed by the program.
This section concerns protective factors addressed by the program.
Required Fields *
Congratulations, you have completed the survey. Click 'Submit Program' to submit your responses. Thank you for your time! Your
information is important and will help improve dropout prevention programs nationwide.