Page 93 - Juvenile Practice is not Child's Play

INTERVIEW SHEET

Contact Information”

Name (have the client spell even common names):
All aliases and nicknames:

Street address (if apartment or room, include number):

Phones, land and cell (and name of person whose phone it is, if not the client’s own):

Email, e-text, and website addresses:

Date of birth:

Place of birth:

Place of residence at time of arrest:

Prior places of residence (from latest to earliest):

Residence: From (date): To (date):

Education:

Name/location of school
Current Grade
Date last attended

Frequency of Attendance:

Passing or Failing Subjects?