Juvenile Diversion - Youth Form
As a juvenile cited by law enforcement, the Otoe County Attorney's Office would like certain information from you and a parent/guardian before proceeding with any juvenile court prosecution or diversion. You will be asked questions to aid in the processing of this matter. Please complete the following screen and survey within 48 hours. If you should have any questions, please contact (402) 969-0319 or email vsherman@otoecountyne.gov.
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Today's date *
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Name *
Parent/Guardian(s) Name
Email: (youth or parent) *
Phone: *
Gender *
Race/ Ethnicity *
Age at time of offense *
Offense (If more than one, select the first listed offense from your citation) *
Overall, how do you feel about the offense you were cited for? How did you receive this offense? *
Month of Offense *
Have you received any other offenses prior to this incident? *
Please list prior offenses and dates if known (or indicate None). *
Have you received any diversion or probation services in the past, in any county? *
Education *
Have you ever been suspended or expelled from school? Explain. *
How many days of school have you missed in the last 2 weeks? *
Were you under the influence of any substance at the time of your offense? *
In the past 3 months how OFTEN did you use Cigarettes/Vape products? *
In the past 3 months how OFTEN did you use Marijuana/THC products? *
In the past 3 months how OFTEN did you consume alcohol? *
Are you employed? *
Are you involved in extra-curricular activities currently? *
How many hours a week do you spend at your job or in extra-curricular activities? *
Have you completed community service or volunteered in the past? *
List any community service or volunteer work you've completed in the past. (Type "none" if you have not completed any.) *
How large is your social circle of peers? *
Do you consider the majority of your peers to be of a positive influence? *
Do your parents consider the majority of your peers to be of a positive influence? *
If eligible for the diversion program what do you hope to gain or expect to change by taking part in the program? *
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