Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

Parent Questionnaire - Probation

What is reported in this questionnaire may be included in the local board's report to the legal parties to the case.

Your First Name: Required

Your Last Name: Required

Your Email Address:

If responding for more than one youth, use the oldest youth's first name and last initial.

First Name of Youth: Required

Last Name of Youth: (1st Initial Only) Required

City: Required

State: Required

Board #: If Known

Meeting Date: If Known

System Contact

How often do you have contact with your child's Probation Officer? Explain

Is the contact with your child’s Probation Officer helpful? Explain

How often do you have contact with your child's placement? Explain

Is the contact with your child’s placement helpful? Explain

Do you participate in family team meetings?

Yes No

Visitation

How often do you have contact (phone, virtual, or in-person) with your child? Explain

How are the visits going? Explain

Is there anything preventing you from having contact (phone, virtual, or in-person) with your child? Explain

Services

Are there services your child needs but are not being provided? Explain

If Probation was not involved, would you be able to provide for your child’s needs?

What needs to happen for your child to return home? Explain

Education

Is your child in school?

Yes No

How is your child doing in school (grades/progress, challenges etc.). Explain

Describe any support or special education services your child is receiving. Explain

Are there any education supports your child need that are not being provided? Explain

Additional Information

Is there anything else that you would like to know? Explain

Although not required, if you would like to submit any additional related documents you may do so below:

Total file size for all files cannot exceed 17MB.

File Upload (pdf, xls, xlsx, doc, docx, jpg, png, gif, tiff, txt)

By the return of this document online, you attest that the information is true and accurate.

Please call the System Oversight Specialist on this case at the phone number listed in the letter you received. Otherwise call our main office at 402-471-4420 for assistance.

Security Authentication Required

For security purposes, you must complete the recaptcha before submitting the form.

"The soul is healed by being with children." Fyodor Dostoevsky

"There is no trust more sacred than the one the world holds with children." Kofi A. Annan

"Seek the wisdom of the ages, but look at the world through the eyes of a child." Ron Wild

"Children have more need of models than of critics." Carolyn Coats