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: ______ __
__________ _________
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 days will be held on Mondays. 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
10 NE Tudor Rd
Lee’s Summit, MO 64086
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, 10 NE Tudor Road, Lee’s Summit MO (across from Lee’s Summit North H.S. at Douglas and Tudor Rd.) |