APPLICATION
FORM *Please Print
NAME _________ __ DATE OF BIRTH _________
ADDRESS
_______________
_____________________
CITY _______ ______ __
STATE ZIP
__
PHONE NUMBER __ _
Cell number __________ _____
NAME OF YOUR SCHOOL: ___ ________ GRADE
____
LIST YOUR SCHOOL
ACTIVITIES AND CIVIC ACTIVITIES: ______ __
__________
_________
PARENT INFORMATION:
MOTHER AND FATHER'S
NAME ________________
WORK PHONE _ HOME PHONE __________ _____
ADDRESS (IF
DIFFERENT)
___ ______________
PARENTS: The Lee's Summit Youth Court program is a
diversionary program set up by the Lee's Summit Police Department and Jackson
County Circuit Court, Family Court Division. The program would require your child to be available to attend EACH training day from 6:30
p.m. to 8:30 p.m.
Training will begin
April 5, 2010 with a
total of 8 two hour training days and continue the following
days:
(April 6th,
12th, 13th, 26th, 27th, May 3rd,
May 4th.)
They will be taught how to address large
groups of people, the city and state laws, courtroom demeanor and proper
representation of the client. If you feel your child would benefit and grow
with our program as one of our attorney's, please indicate below with your
signature.
Parents
Signature _____ ____
Return this application to
your School Resource Officer/Dare Officer
Or
Mail to:
Chris Colon
Youth Court
If you are selected, the Youth Court Director will contact
you or your parents and you will be provided instructions on when the training
will commence. The training is scheduled
to be at the Police Department,