Section I

Section II

Section III

Your Recommendation: 
(See List Below)
Level V (Incarceration)
Level IV (Out of home residential facility)
Level III (Once a week - meet w/probation)
Level II (Once every three weeks - meet w/probation)
Back on Track
School Offense Diversion Program (program w/out conviction on record)

In your opinion, did this incident occur as a result of a bullying situation?

Was this incident gang related? 
Yes No

Is this defendant a special education student? 
Yes No

Would you like me to request that the parent of the juvenile ordered to attend counseling?
Yes No

Conditions You Recommend
(See List Below):
Zero Tolerance on cutting classes, or unexcused absences
Best efforts in school
Anger management
Curfew set by parents
Curfew set by court
Drug/Alcohol evaluation and follow recommendations
Random drug screens
Psychological evaluation and follow recommendations
Mandatory counseling
Community service
Psychiatric evaluation and follow recommendations
No contact with victim out of school, no unlawful contact in school

If restitution is needed for damaged property or out of pocket medical expenses
please specify amount: 

Explanation for Recommendation (please describe in 100 words or less)


Other important relevant information that you think the Court should know
(please describe in 100 words or less):