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

Youth Questionnaire - Probation

Thank you for taking the time and answering our questions about how you are doing and the care you are receiving. What is reported in this questionnaire may be included in the local board�s report to the legal parties to the case. Your input will provide your personal view and is important for us to hear.

Your First Name: Required

Your Last Name: Required

Your Email Address:

City: Required

State: Required

Board #: If Known

Meeting Date: If Known

Tell us how you are doing

What activities are you involved in? Explain

Are there activities that you would like to be involved in but are currently not able to do? Explain

Placement

Do you feel safe where you are living?

Yes

Is there anything you would like us to know about where you are living?

Yes

Is there someplace else you would rather be living? Explain

Education

How is school going? Explain

What would help you be more successful in school? Explain

What life skills are you learning? (Cooking, money management, how to find/keep a job, driving, etc.) Explain

What do you want to do after high school? Explain

What are your goals? Explain

What do you need to help you reach these goals? Explain

Visitation

Do you get to see your parents/guardians enough? Explain

Do you get to see your brothers/sisters enough? Explain

What would improve your visits with your family? Explain

Who would you like to see that you currently are not able to? Explain

Services

Do you know what needs to happen in order for you to go home? Explain

Contacts from people on your court case

How often do you talk with your Probation Officer? Explain

Does your Probation Officer explain to you what you need to do to complete probation? Explain

Are you getting all the help you need to complete probation?

Yes

Does your attorney tell you what is happening on your case?

Yes

I don't have an attorney

Additional Information

Is there anything else you want the adults involved with your case to know that would make your situation better? 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.

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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.

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"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