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2. Answer the questions as thoroughly as you can. Your Probation Officer will decide if your answers are correct and complete.
4. When you have completed the online form, your Probation Officer will print a Certificate of Completion and give it to you at your next meeting.
6. Please provide your full name:*
8. Name of Probation Officer:
10. Date*
    Date
12. What does the word “empathy” mean? (If you don’t know check a dictionary.)*
14. How much was the average loss for shoplifting at Target?*
16. How many calls for shoplifting are received in Sierra Vista daily?*
18. How was your family affected by your juvenile crime?*
20. What damage was done to the school as a result of youth breaking into it?*
22. What was the total cost of repairing the school building after the youth wrote graffiti on it? Why was the cost so high?*
24. Name three types of juvenile crime that the principal of Apache Middle School mentions can happen at school.*
26. What reaction does the speaker express when she learns her house was burglarized?*
28. Name three items that were stolen from this victim when her house was burglarized.*
30. How did the robbery affect the speaker in the long run?*
32. Can victims object to a youth being released from detention prior to their release?*
34. When is a victim notified that a youth has been released from detention?*
36. Can victims attend all court hearings and speak to the judge about restitution, plea offers, and recommended consequences for the responsible youth?*
38. Can victims request the judge to order youth to pay for damages done by the youth including repairing or replacing property, medical bills, transportation and mileage costs, counseling services?*
40. What happens when a youth turns 18 years old and still owes restitution to a victim?*
42. What did you learn about victims as a result of this panel?*
44. If you could speak to the victim(s) of your offense, what would you say to them?*
46. Is there anything you will do differently in the future as a result of watching this program?*
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48. 1. Receive an email copy of this form.
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