Title IV Safe and Drug Free Schools
District Self-Monitoring Guide
□ I can assure that there are minutes of a school board meeting authorizing a
representative for our Title IV program. The meeting was held on _______________.
(Please submit a copy of the board meeting minutes and label as Submission #1.)
□ I can assure that there are minutes of a school board meeting approving the
consolidated application of Titles I, II-A, II-D, IV, V, and REAP. The meeting was held
on ____________________. (Please submit a copy of the board meeting minutes
and label as Submission #2.)
□ I can assure that the most recent audit report is available for review.
Date of most recent audit: ______________________________.
Name of auditor or firm: ________________________________.
□ I can assure that the purchase orders and invoices are:
1. Properly coded to the Title IV program.
2. Appropriate Title IV expenditures.
3. Incurred during the appropriate fiscal year.
4. Current and available for review.
□ I can assure that Title IV funds are only spent on Title IV allowable expenditures.
(Please submit the business manager’s summary report for Title IV funds for the
current school year and label as Submission #3.)
□ I can assure that there is an inventory list for our Title IV program for purchases of
$750 and over. The list includes all five necessary components: description, cost,
serial number, date of purchase, and location of items. (Please submit a copy of the
Title IV inventory and label as Submission #4.)
□ I can assure that items purchased with Title IV funds are labeled accordingly.
2) Home Education
□ I can assure that annual documentation exists to show that home education families
have been notified for participation in our Title IV program. (Please submit
documentation and label as Submission #5.)
□ I can assure that a system is in place at each school site to collect and report truancy
rates, violent, and drug-related offenses resulting in suspensions and expulsions.
4) Parent Notification
□ I can assure that we have informed parents and community members of the
district/school report cards (a.k.a. School District Profile) and have provided an
opportunity for individuals to review these reports.
Date sent: ________________. (Please submit a copy of the report card notification
and label as Submission #6.)
□ I can assure consultation with parents & community are part of the program.
Title IV – Administrative
□ I can assure that all Safe and Drug Free School personnel who are paid from more
than one source, maintain time distribution records. (Submission #7.)
□ I can assure that there is a board approved policy in place prohibiting the use,
possession, and distribution of illegal drugs and violent behavior by students and
employees. (Submission #8.)
□ I can assure that there is a formal active plan in place to keep our school/s safe and
drug free. (Submission #9.)
□ I can assure that there is a coordinated effort throughout the district to support a Safe
and Drug free Learning environment. (Submission #10.)
□ I can assure that our district has a current crisis management plan / staff brochure
and all staff are aware of the crisis plan. Attach copy of brochure or plan outline
(table of contents if lengthy document)(Submission #11.) The most recent annual
drill for a crisis other than fire/tornado was held on: _________________ (date).
Attach copy of debriefing or evaluation minutes (Submission #12.)
Authorized Representative Signature Date