DRUG OFFENSE EDUCATION PROGRAM REGISTRATION (June 1-5, 2026)
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  • DRUG OFFENSE EDUCATION PROGRAM REGISTRATION

  • Date:*
     - -
  • Date of Birth:*
     - -
  • Format: (000) 000-0000.

  • Race:*
  • Ethnicity:*
  • Gender:*
  • Highest Level of Education Completed:*
  • Date of Conviction:*
     - -
  • If you do not have your cause number, you must provide it to the instructor on the first day of the course to ensure your completion meets requirements.
  • Please list the name(s) and address(es) of the probation officer, attorney, employer, and/or other entity or person to be notified upon course completion (in addition to Texas Department of Licensing and Regulation and Texas Department of Public Safety).
  • I plan to attend class: **
  • Date:*
     - -

  • DRUG OFFENSE EDUCATION PROGRAM POLICIES

  • 1. The course consists of five 3-hour sessions which equals a total of 15 hours.
    2. The sessions are held Monday through Friday from 6:00 p.m. to 9:00 p.m.
    3. Sessions will start on time. Please plan to arrive or login 10-15 minutes early. LATE PARTICIPANTS WILL NOT BE ADMITTED TO THE CLASS.
    4. The cost for the course is $110.00.
    5. Each participant must complete all five sessions consecutively. If a participant misses a session, they will be a.) Required to pay the reassignment fee of $65.00 and b.) Required to start the course over during the next scheduled class.
    6. REGISTRATION FEES ARE NON-REFUNDABLE.
    7. All paperwork must be completed, and the fee must be PAID IN FULL before you are registered for the course.
    8. A COPY OF THE PARTICIPANT'S PHOTO ID WILL BE REQUIRED AT TIME OF REGISTRATION; if an individual does not have a PHOTO ID, office staff will acquire a photo of the participant. (All copies are for identification purposes only and will be kept confidential.)
    9. Each participant will be given a completion certificate after successfully completing the course. If the certificate is lost, the participant must purchase a new certificate for $10.00.
    10. Abilene Recovery Council, Inc. is not responsible for the SR-22 form. If you need this form, please contact your insurance company.
    11. Participants who appear to be under the influence of drugs or alcohol will not be permitted to attend class and will be responsible for the reassignment fee of $110.00.
    12. The instructor reserves the right to eject anyone from the class due to disorderly behavior. The participant may not return to class until cleared by the instructor and will be responsible for the reassignment fee of $110.00.
    13. Smoking, vaping, or using smokeless tobacco is not allowed in the building or on camera during class. Use of tobacco products or vaping during breaks is permitted off camera or in designated areas outside of the building 20 feet from any entrance, window or ventilation system.
    14. Children and relatives are not permitted in the class unless cleared with the instructor.
    15. It is the participant's responsibility to complete the course before the time limit set by the Court.

  • Date:*
     - -

  • REMOTE LEARNING POLICIES

  • 1. You MUST participate from a private, well-lit room, free of all distractions (do not drive, cook, or complete other household chores during class). No one else can be present in the room (including children). You cannot be the primary caregiver for children during this class. If you have children, you will need to get a babysitter just like you would if you were attending this class in person.

    2. You must have a functioning webcam and microphone. Your face must be completely visible at all times while class is in session. Do not participate from a dark room. Lighting must be sufficient for your face to be clearly visible on the screen.

     3. Make sure your internet connection is functioning and fast enough to support video streaming.

    4. You must be fully clothed at all times. Please remember that other participants will be able to see you.

    5. Do not sleep during class. If you do, you will be required to pay another registration fee and take the class again.

    6. Please actively participate in the discussions. The instructor will give online participants the opportunity to contribute to the discussion.

    7. You cannot be under the influence of alcohol or drugs during class. Use of tobacco and electronic nicotine delivery devices is also prohibited while class is in session.

    8. If you do not adhere to these policies at all times, you will be removed from class and required to pay the registration fee in full again and take the class at a later date.

  • I HAVE READ AND UNDERSTAND THE ABOVE POLICIES. (Select ONE option below)*
  • Date:*
     - -

  • VEHICLE DESCRIPTION REQUEST

  • (Complete only if attending class IN PERSON and you will be driving a vehicle)
  • 1. Participants who are enrolled in night classes will need to fill out the vehicle description form.
    2. Vehicle description is requested to prevent participants vehicles from being towed.
    3. This information is kept private and is used for office purposes only.
  • Date:
     - -

  • Abilene Recovery Council, Inc.

  • Consent for Release of Confidential Information

  • authorize the Abilene Recovery Council, Inc. to disclose the information in connection with the completion of my Drug Offense Education Program to the Texas Department of Licensing and Regulation, the Texas Department of Public Safety, and

  • I understand that my records are protected under the Federal Confidentiality Regulations (HIPAA) and cannot be disclosed without my written consent. I understand that Abilene Recovery Council conducts 24-hour video surveillance in its common areas such as lobbies and main offices (for security purposes only). No such surveillance is conducted in counselors'/peer recovery coaches' offices or anywhere where protected health information (PHI) may be shared. Access to surveillance video is restricted to authorized Council staff, and client/participant confidentiality will be protected at all times according to state and federal regulations. I also understand that I may revoke this consent at any time, except to the extent that action has been taken in reliance on it.

  • Date:*
     - -

  • TEXAS DRUG OFFENSE EDUCATION PROGRAM

  • PERSONAL DATA FORM

  • FAMILY AND DEPENDENTS

  • MARITAL STATUS*
  • Do you feel your drinking or drug use has contributed to family problems at any time in your life?*

  • EDUCATION

  • Highest level of education completed:*

  • EMPLOYMENT

  • Are you employed in the type of work you've been trained to do at this time?*
  • Rows

  • ARREST INFORMATION

  • Rows
  • How many times has your license now or ever been:
  • Prior to this arrest, was your license (select one)?*

  • PERSONAL HISTORY

  • Your age when you:
  • Have you ever thought you might have a drug problem?*
  • Have you ever thought you might have a drinking problem?*
  • Have you ever received help from: (select all that apply):*
  • Where do you usually use drugs? (select all that apply):

  • DRUG ABUSE SCREENING TEST (DAST-10)

  • NIDA Clincial Trials Network

  • The following questions concern information about your potential involvement with drugs not including alcoholic beverages during the past 12 months. Carefully read each statement and decide if your answer is "Yes" or "No." Then, select the appropriate response. In the statements "drug abuse" refers to (1) the use of prescribed or over the counter drugs in excess of the directions and (2) any non-medical use of drugs. The various classes of drugs may include: cannabis (e.g. marijuana, hash), solvents, tranquilizers (e.g. Valium), barbiturates, cocaine, stimulants (e.g. speed), hallucinogens (e.g. LSD) or narcotics (e.g. heroin). Remember that the questions do not include alcoholic beverages. Please answer every question. If you have difficulty with a statement, then choose the response that is mostly right.
  • ©1982 by the Addiction Research Foundation. Author: Harvey A. Skinner Ph.D. For information on the DAST, contact Dr. Harvey Skinner at the Addiction Research Foundation, 33 Russell St., Toronto, Canada, M5S 251
  • These questions refer to the past 12 months. Please answer "No" or "Yes"
  • Have you used drugs other than those required for medical reasons? **
  • Do you use more than one drug at a time? **
  • Are you always able to stop using drugs when you want to? **
  • Have you had "blackouts" or "flashbacks" as a result of drug use? **
  • Do you ever feel bad or guilty about your drug use? **
  • Does your spouse (or parents) ever complain about your involvement with drugs? **
  • Have you neglected your family because of your use of drugs? **
  • Have you engaged in illegal activities in order to obtain drugs? **
  • Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs? **
  • Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)? **

  • TEXAS DRUG OFFENSE EDUCATION PROGRAM KNOWLEDGE TEST

  • Date*
     - -
  • Read all answers BEFORE making a choice and select the best answer.
  • 1. Which of the Stages of Change refers to the stage when a person has not considered a behavior?*
  • 2. Which of the following is the length of driver's license suspension for a drug conviction in Texas for persons 21 years and older?*
  • 3. Which schedule of drugs has the highest potential for abuse and carries the severest penalties?*
  • 4. Which of the Stages of Change is the stage when a person gets busy taking action that specifically addresses changing the problem behavior?*
  • 5. The law that required over-the-counter medicine to reveal the contents of the drugs was:*
  • 6. Which of the following drugs has been around since ancient times?*
  • 7. During the Civil War, an addiction that was known as "the soldier's addiction"?*
  • 8. The part of the brain that controls a person's ability to process information is:*
  • 9. Which of the following drugs is categorized as a "stimulant"?*
  • 10. Which term listed below explains the following effect of drug use: Repeated exposure to the same dose of drug results in diminishing effect. Therefore, increased doses are required to achieve the desired effect.*
  • 11. Which of the following terms means that tolerance to one drug may also produce tolerance to other similar-acting drugs?*
  • 12. is a condition where loss of control over the use of a drug occurs, in spite of unpleasant consequences.*
  • 13. Which term identifies one of the biggest problems in dealing with drug dependency because it keeps the dependent person from clearly seeing the effects of his/her drug use?*
  • 14. Which of the following has been identified as an "HIV high risk" behavior?*
  • 15. The length of time between becoming infected with HIV and the possibility of transferring HIV to another person is:*
  • 16. The use of drugs by some celebrities mistakenly ________ impact drug use can have on a person's life.*
  • 17. Which of the following describes "values?"*
  • 18. Which of the following describes "attitudes?"*
  • 19. Which of the following reflects the latest medical thinking regarding addiction?*
  • 20. Setbacks or returning to old behaviors that may lead to using drugs is:*
  • 21. Which of the following is not an advantage of 12-Step Support Groups?*
  • 22. Which of the following is an example of Physiological Needs according to Maslow's hierarchy?*
  • 23. During the Contemplation Stage, going back and forth between the pros and cons of changing a behavior is known as:*
  • 24. Which of the following is a reason that planning is important?*
  • 25. Which of the following can act as a barrier to reaching our goals?*
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    Drug Offense Education Program Product Image
    Drug Offense Education Program

    June 1-5, 2026 (Monday - Friday 6:00 - 9:00 pm)

    $110.00
      
    Subtotal
    $0.00
    Tax
    $0.00
    Total
    $0.00

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