SLEPS School Resource Officer Rostering Form

Attachment B

Bureau of Justice Statistics
Survey of Law Enforcement Personnel in Schools

School Resource Officer Rostering Form
Please use the table provided below to list all of the sworn officers with general arrest powers from your
jurisdiction who are primarily assigned to work in K-12 public schools. Please provide the badge numbers or
other identifying information along with the race/Hispanic origin and sex for these officers in the table below
so that we can randomly select the officers who will receive the officer-level survey. If your agency would
prefer to provide information other than the badge number of these officers, please provide an alias or other
information that you can use to identify these officers (e.g., Officer A, Officer B, etc.).
We will use this list to randomly select some of these individual officers to receive a survey about activities
performed by sworn law enforcement officers assigned to schools. We will provide you with survey packets to
distribute to the randomly selected officers approximately 3 weeks after you return this form.

SRO Roster
List each officer’s badge number OR
other identifying information that you
can link directly to each SRO in your
agency.

Record the race/Hispanic origin of
each SRO you listed using the letter
corresponding to the correct
category below.
A. White, non-Hispanic
B. Black or African American,
non-Hispanic
C. Hispanic or Latino
D. American Indian or Alaska Native,
non-Hispanic
E. Asian, non-Hispanic
F. Native Hawaiian or Other Pacific
Islander, non-Hispanic
G. Two or more races
H. Race/Hispanic origin not known

Indicate whether each
SRO listed is male or
female by checking the
appropriate box.

1.

Male

Female

2.

Male

Female

3.

Male

Female

4.

Male

Female

5.

Male

Female

If you have more officers working in schools please use the additional pages provided with this form.