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Youth Referral Form

  • This referral form is intended for use by Juvenile Community Corrections Officers, Maine Juvenile Court personnel, Law Enforcement Officers, and School Administrators only. Please contact Service Works Director Tim Delahanty with your questions about the referral process.
  • Youth Information

  • Parent or Legal Guardian Information

  • Referral Source

  • Referral Information

  • i.e. This student would ordinarily be issued a X day suspension for the alleged conduct. By agreeing to participate in Service Works, the student's consequence has been reduced Y days of afterschool detention.
  • This field is for validation purposes and should be left unchanged.

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