ELIGIBILITY CRITERIA :

Girls must be between the ages of 10-18, at risk of juvenile justice involvement in Houston, TX within the last year.

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* 1. REFERRING AGENCY

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* 2. Provide information on the participants involvement in the juvenile justice system (This does not affect your acceptance in the program)

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* 3. Adjudication date (MMDDYY), and duration of adjudication (if applicable)

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* 4. Date and duration of diversion or community based program (indicate which program)  (MMDDYY)(if applicable)

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* 5. Assigned Risk Scores on assessment tool (if applicable)

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* 6. PARTICIPANT INFORMATION

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* 7. Will the participant have internet access?

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* 8. Has the youth been informed of the referral to the VOICES program (Please mark accordingly)

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* 9. Has the Parent/ Guardian agreed to allow the youth to participate in the VOICES Program (Please mark accordingly)

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* 10. Parent/ Guardian information

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* 11. REFERRING AGENCY CONTACT INFORMATION:

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