Week 9 discussion crj

State of Alabama Unified Judicial System Form JU–12B Rev. 6/13

LEGAL INFORMATION (SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF _________________________________________________ COUNTY, ALABAMA

(Name of County) In the Matter of _______________________________________________________________________, a child Part I PRIOR JUVENILE COURT RECORD:

Date Offense / Matter Disposition

Part II CHILD’S ATTITUDES TOWARD CURRENT OFFENSE AND HIS STATEMENT:

Part III COMPLAINANT’S (Victim’s) STATEMENT AND ATTITUDES TOWARD CURRENT OFFENSE:

Part IV PARENT’S ATTITUDES TOWARD OFFENSE: Part V PARENT’S PRIOR POLICE RECORD: _________________________________ _______________________________________________ Date Signature of Juvenile Probation Officer

(Name of Child)

State of Alabama Unified Judicial System Form JU-12C Rev. 6/13

SCHOOL INFORMATION (SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF ____________________________________________________________COUNTY, ALABAMA (Name of County) In the Matter of___________________________________________________________________________________, a child Current School:____________________________________________________________________________________________ Schools Previously Attended:_________________________________________________________________________________

Grades Repeated (if applicable):______________________________________________________________________________ Present Grade: __________________ Test Given:______________________ Date Results: ________________________ Given:_______________________ Functional Grade Level: ________________ Academic Record: Record Attached, Report card, etc. Attendance: Required Days: ______________________________ Days Present: ________________________________ Excused Absences: ____________________________ Unexcused Absences: __________________________ Conduct Reports, Behavior, Attitude Towards School & Persons in Authority: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Extracurricular Activities: _______________________________________________________________________________________________ _______________________________________________________________________________________________ School Officials Contacted: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Phone: ________________________________ ___________________________________ _______________________________________________ Date Signature of School Official ___________________________________ _______________________________________________ Date Signature of Juvenile Probation Officer

Current Year Last Year Subject 1 2 3 4 5 6 Yr. Subject 1 2 3 4 5 6 Yr.

1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 6. 6.

(Name of Child)

State of Alabama Unified Judicial System Form JU – 12D Rev. 6/13

PROFILE OF CHILD (SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF ___________________________________________________________ COUNTY, ALABAMA

(Name of County)

In the Matter of ___________________________________________________________________________________, a child

A profile of the child should include comments about physical appearance; self-image (how the child sees himself/herself); general attitude towards authority, parents, school and police; peer relationships; strengths, weaknesses, and attributes the child has that could help him/her through problems; employment history (full-time and part-time); interests, hobbies and activities; special placements (i.e., special education, foster homes, vocational rehabilitation, etc); description of programs and adjustment, length of stay, reasons for removal; and other pertinent comments or analysis.

__________________________________ _____________________________________________ Date Signature of Juvenile Probation Officer

(Name of Child)

State of Alabama Unified Judicial System Form JU-12E Rev. 6/13

FAMILY–HOME INFORMATION (SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF _____________________________________________________________COUNTY, ALABAMA

(Name of County) In the Matter of ____________________________________, a child Age: _________ Sibling Rank By Birth: ____________ Description of Home: Family Information: Comment on all pertinent information about the child’s family, and income; parents’ marital status and marital history; medical problems; recurring illnesses, mental or physical; family activities; general relationships among parents, child, child’s siblings; attitude of parents toward offense; etc. Other agencies working with family or individual member: (Past or present) _________________________________ _________________________________________________________ Date Signature of Juvenile Probation Officer

(Name of Child)

State of Alabama Unified Judicial System Form JU–12F Rev. 6/13

MEDICAL INFORMATION (SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF _______________________________________________ COUNTY, ALABAMA

(Name of County) In the Matter of _________________________________________________________________________, a child Health History: Physical History (List diseases, physical handicaps, or surgical history): Last Physical Exam (date, doctor, results): Name of Family Doctor: ____________________________ Hospital Plan: _______________________________

Office Address: __________________________________ Medicaid No.: _______________________________ ________________________________________________

Phone: ______________________________

Psychiatric History:

Immunizations – Childhood Diseases:

Other Comments: (Immediate problems, current treatments, habits, diet and other factors detrimental to health, medical complaints and problems)

_________________________________ ____________________________________________________ Date Signature of Probation Officer

(Name of Child)

State of Alabama Unified Judicial System Form JU-12G Rev. 6/13

SUMMARY – RECOMMENDATIONS (SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF ______________________________________________COUNTY, ALABAMA

In the Matter of _______________________________________________________________________, a child Needs Assessment and Treatment Priorities (Specific areas or target behavior, i.e., cursing, constant fighting): Recommendations: Referral Resources That are Indicated: Other Comments: ________________________________ ____________________________________________________ Date Signature of Juvenile Probation Officer

(Name of County)

(Name of Child)

1. Text1:
2. Text2:
3. Text3:
4. Text4:
5. Text5:
6. Text6:
7. Text7:
8. Text8:
9. Text9:
10. Text10:
11. Text11:
12. Text12:
13. Text13:
14. Text14:
15. Text15:
16. Text16:
17. Text17:
18. Text18:
19. Text19:
20. Text20:
21. Text21:
1. 0:
2. 1:
3. 2:
4. 3:
5. 4:
22. Text22:
1. 0:
2. 1:
3. 2:
4. 3:
23. Text23:
1. 0:
2. 1:
3. 2:
4. 3:
5. 4:
24. Text24:
1. 0:
2. 1:
3. 2:
25. Text25:
26. Text27:
27. Text28:
28. Text29:
29. Text30:
30. Text31:
31. Text32:
32. Text33:
33. Text34:
34. Text35:
35. Text36:
36. Check Box37: Off
37. Text39:
38. Text40:
39. Text41:
40. Text42:
41. Text43:
42. Text44:
43. Text45:
44. Text46:
45. Text47:
46. Text48:
47. Text49:
48. Text50:
49. Text51:
50. Text52:
51. Text53:
52. Text54:
53. Text55:
54. Text56:
55. Text57:
56. Text58:
57. Text59:
58. Text60:
59. Text61:
60. Text62:
61. Text63:
62. Text64:
63. Text65:
64. Text66:
65. Text67:
66. Text68:
67. Text69:
68. Text70:
69. Text71:
70. Text72:
71. Text73:
72. Text74:
73. Text75:
74. Text76:
75. Text77:
76. Text78:
77. Text79:
78. Text80:
79. Text81:
80. Text82:
81. Text83:
82. Text84:
83. Text85:
84. Text86:
85. Text87:
86. Text88:
87. Text89:
88. Text90:
89. Text91:
90. Text92:
91. Text93:
92. Text94:
93. Text95:
94. Text96:
95. Text97:
96. Text98:
97. Text99:
98. Text100:
99. Text101:
100. Text102:
101. Text103:
102. Text104:
103. Text105:
104. Text106:
105. Text107:
106. Text108:
107. Text109:
108. Text110:
109. Text111:
110. Text112:
111. Text113:
112. Text114:
113. Text115:
114. Text116:
115. Text117:
116. Text118:
117. Text119:
118. Text120:
119. Text121:
120. Text122:
121. Text123:
122. Text124:
123. Text125:
124. Text126:
125. Text127:
126. Text128:
127. Text129:
128. Text130:
129. Text131:
130. Text132:
131. Text133:
132. Text134:
133. Text135:
134. Text136:
135. Text137:
136. Text138:
137. Text139:
138. Text140:
139. Text141:
140. Text142:
141. Text143:
142. Text144:
143. Text145:
144. Text146:
145. Text147:
146. Text149:
147. Text37:
148. Text38:
149. Text152:
150. Text154:
151. Text155:
152. Text156:
153. Text157:
154. Text172:
155. Text173:
156. Text174:
157. Text175:
158. Text176:
159. Text177:
160. Text181:
161. Text183:
162. Text184:
163. Text186:
1. 0:
164. Text187:
1. 0:
165. Text188:
1. 0:
166. Text189:
167. Text148:
168. Text150:
169. Text151:
170. Text158:
171. Text159:
172. Text160:
173. Text153:
174. Text161:
175. Text163:
176. Text164:
177. Text162:
178. Text165:
179. Text168:
180. Text169:
181. Text170:
182. Text171:
183. Text178:
184. Text185:
1. 0: