DWI EDUCATION PROGRAM REGISTRATION (May 18-20, 2026)
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  • DWI EDUCATION PROGRAM REGISTRATION

  • Date*
     - -
  • DATE OF BIRTH:*
     - -
  • Format: (000) 000-0000.

  • RACE*
  • ETHNICITY*
  • GENDER*
  • HIGHEST LEVEL OF EDUCATION COMPLETED*
  • DATE OF CONVICTION:*
     - -

  • Please BELOW 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*
     - -

  • Abilene Recovery Council, Inc. 104 Pine Street, Suite 205 Abilene. Texas, 79601

  • DWI EDUCATION PROGRAM POLICIES

  •  

    1. The course consists of three 4-hour sessions which equals a total of 12 hours.

    2. The sessions are held Monday through Wednesday from 6:00 p.m. to 10:00 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 $100.00 if the DWI was received in Texas and $110.00 if the DWI was received out of state.

    5. Each participant must complete all three 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. At the completion of the course, your probation office, the appropriate county court, and DPS will be notified in writing of your completion. Each participant will also be given a certificate after successfully completing the course. If the certificate is lost, the participant must purchase a new certificate for $10.00.         

    10. Participants must complete all assignments and turn them in to the instructor.     

    11. Abilene Recovery Council, Inc. is not responsible for the SR-22 form. lf you need this form, please contact your insurance company.

    12. 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 $100.00 or $110.00.

    13. 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 $100.00 or $110.00.

    14. 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.

    15. Children and relatives are not permitted in the class unless cleared with the instructor.

    16. It is the participant's responsibility to complete the course before the time limit set by the Court.

     17. Participants with an NDP score of 6 or 7 will be scheduled for an exit interview.

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  • 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.*
  • Date*
     - -

  • Abilene Recovery Council, Inc.
    104 Pine Street, Suite 205
    Abilene, Texas, 79601

  • 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 DWI Education course 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:*
     - -

  • NDP - Adapted

    Please read each question carefully and select the MOST correct answer. Select only ONE answer for each question.
  • 1. How many times have you been arrested on charges involving alcohol? (Do NOT count the present DWI arrest.)*
  • 2. Is someone close to you concerned about your drinking?*
  • 3. With whom did you do most of your drinking before this arrest?*
  • 4. Do you believe your drinking may be causing you problems?*
  • 5. Do you want help for a drinking problem?*
  • 6. Do you feel you are a normal drinker?*
  • 7. Have you ever awakened the morning after some drinking the night before and found you could not remember a part of the evening before?*
  • 8. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking?*
  • 9. Can you stop drinking without a struggle after one or two drinks?*
  • 10. Do you ever feel bad about your drinking?*
  • 11. Do your friends or relatives think you are a normal drinker?*
  • 12. Do you ever try to limit your drinking to certain times of the day or to certain places?*
  • 13. Are you always able to stop drinking when you want to?*
  • 14. Have you ever attended a meeting of Alcoholics Anonymous?*
  • 15. Have you gotten into fights when drinking?*
  • 16. Has drinking ever created problems between you and your wife, husband, parent, or other near relative?*
  • 17. Has your wife, husband, a parent, or other near relative ever gone to anyone for help about your drinking?*
  • 18. Have you ever lost friends because of drinking?*
  • 19. Have you ever gotten into trouble at work because of drinking?*
  • 20. Have you ever lost a job because of drinking?*
  • 21. Have you ever neglected your obligations, your family, or your work for 2 or more days in a row because you were drinking?*
  • 22. Do you drink before noon fairly often?*
  • 23. Have you ever been told you have liver trouble? Cirrhosis?*
  • 24. After heavy drinking, have you ever had Delirium Tremens (DTs) or severe shaking?*
  • 25. After heavy drinking, have you ever heard voices or seen things that weren't really there?*
  • 26. Have you ever gone to anyone for help about your drinking?*
  • 27. Have you ever been in hospital because of drinking?*
  • 28. Have you ever been a patient in a psychiatric hospital or on a psychiatric ward of a general hospital?*
  • 29. Have you ever been in a hospital to be "dried out" (detoxified) because of drinking?*
  • 30. Have you ever been in jail, even for a few hours, because of drunk behavior? (Count the present arrest)*

  • DWI EDUCATION COURSE KNOWLEDGE TEST

  • Date*
     - -

  • Read all answers BEFORE making a choice and select the best answer.

  • 1. In recent years, the percentage of alcohol related traffic deaths in Texas has:*
  • 2. Administrative License Revocation (ALR) relates to:*
  • 3. Which of the following is an EXCEPTION to the Open Container Law?*
  • 4. The ability related to driving which tends to be first affected by alcohol or other drugs is:*
  • 5. The fine for first offense DWI in Texas is:*
  • 6. In Texas, a person gives consent to take a breath or blood test when he/she:*
  • 7. Alcohol does the following:*
  • 8. Alcohol or other drugs affect people differently because of:*
  • 9. Which of the following beverages contains the most PURE alcohol?*
  • 10. Which of the following may be a defense against intoxication?*
  • 11. Alcohol and most other drugs are mainly removed from the body by:*
  • 12. Which of the following is a factor in determining blood alcohol concentration (BAC)?*
  • 13. The legal definition of intoxication in Texas is:*
  • 14. Alcohol affects vision by:*
  • 15. The objective of a DWI Education course is to:*
  • 16. Which drug is most likely found in drivers who are in fatal vehicle crashes?*
  • 17. The lowest BAC (of those provided) at which all persons have been shown to be affected is:*
  • 18. The average alcohol elimination rate per hour is:*
  • 19. Which of the following affects the rate of ABSORPTION of alcohol?*
  • 20. Which of the following is a part of the definition of alcoholism?*
  • 21. Which of the following (of those provided) is the best sign of alcoholism?*
  • 22. A DWI conviction which includes a BAC of 0.15 or greater results in an additional fine of:*
  • 23. The best long-term way to change improper drunken/driver behavior is:*
  • 24. Combining alcohol and marijuana produces:*
  • 25. A desirable personal action to prevent a future DWI is:*
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      DWI Education Program

      May 18-20, 2026 (Monday - Wednesday, 6:00 - 10:00 pm)

      $100.00
        
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      DWI Education Program (out of state)

      Select this option if DWI arrest was outside of Texas

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