MSL Schedule

  • Johnson County Juvenile Community Corrections Monitored Supervision Weekly Schedule - Youth

    On-Call Officer: 317-670-5094

  • As a condition of your monitoring, you are required to indicate below any time you leave your residence for any reason. This includes, but is not limited to, school, employment, court ordered programming, court hearings, medical/therapy appointments, and probation appointments. At all other times, you should be present in your residence. You must complete all parts of the schedule to be approved to leave your residence. Failure to fully complete the schedule may result in the denial to leave your residence.

  • Format: (000) 000-0000.
  • Level 1 Monitoring: As a Condition of Level 1 Monitoring, I understand that I do not necessarily have to plan out each time I leave my residence. However, I understand that I must be with a parent/guardian or approved adult anytime I leave my residence unless it is for (1) schooling; (2) some medical/therapy appointments with verification; or (3) court ordered programming. Use this schedule to report known recurring times that you are out of your home (i.e. set school times, programming times, or therapy appointments)*
  • Level 2 Monitoring: As a Condition of Level 2 Monitoring, I understand that I do not necessarily have to plan out each time I leave my residence. However, I understand that I must be with a parent/guardian or approved adult anytime I leave my residence unless it is for (1) schooling; (2) some medical/therapy appointments with verification; or (3) court ordered programming. Use this schedule to report known recurring times that you are out of your home (i.e. set school times, programming times, or therapy appointments)*
  • Level 3 Monitoring: As a Condition of Level 3 Monitoring, I understand that I do not necessarily have to plan out each time I leave my residence. However, I understand that I must be with a parent/guardian or approved adult anytime I leave my residence unless it is for (1) schooling; (2) some medical/therapy appointments with verification; or (3) court ordered programming. Use this schedule to report known recurring times that you are out of your home (i.e. set school times, programming times, or therapy appointments)*
  • Level 4 Monitoring: You receive up to three hours of incentive time (including travel time) that you can utilize in 30 minute increments. Use of this incentive time must be scheduled now. Failure to do so will result in the loss of incentive time as scheduled edits, additions, and revisions are not permitted. For additional information regarding the use of your incentive time - please review your conditions.*
  • Level 5 Monitoring: You receive up to one hour of incentive time (including travel time) that you can utilize in 30 minute increments. Use of this incentive time must be scheduled now. Failure to do so will result in the loss of incentive time as scheduled edits, additions, and revisions are not permitted. For additional information regarding the use of your incentive time - please review your conditions.*
  • Level 6 Monitoring: I understand that I am only allowed to leave my residence for: (1) schooling; (2) medical/therapy appointments with verification; (3) court ordered programming. Anything outside the scope of these items must be approved in advance by the Court.*
  • Format: (000) 000-0000.
  • Do you need to enter a schedule for Monday?*

  • Monday

    Complete the information below if you need to enter a schedule for Monday.
  • MONDAY DATE
     / /
  • Rows
  • Do you need to enter a schedule for Tuesday?*

  • Tuesday

    Complete the information below if you need to enter a schedule for Tuesday.
  • TUESDAY DATE
     / /
  • Rows
  • Do you need to enter a schedule for Wednesday?*

  • Wednesday

    Complete the information below if you need to enter a schedule for Wednesday.
  • WEDNESDAY DATE
     / /
  • Rows
  • Do you need to enter a schedule for Thursday?*

  • Thursday

    Complete the information below if you need to enter a schedule for Thursday.
  • THURSDAY DATE
     / /
  • Rows
  • Do you need to enter a schedule for Friday?*

  • Friday

    Complete the information below if you need to enter a schedule for Friday.
  • FRIDAY DATE
     / /
  • Rows
  • Do you need to enter a schedule for Saturday?*

  • Saturday

    Complete the information below if you need to enter a schedule for Saturday.
  • SATURDAY DATE
     / /
  • Rows
  • Do you need to enter a schedule for Sunday?*

  • Sunday

    Complete the information below if you need to enter a schedule for Sunday.
  • SUNDAY DATE
     / /
  • Rows
  • Have you entered all of the appointments, court hearings, programming, probation appointments, school, and work times within this schedule? Schedules are only permitted to be changed in an emergent situation.*

  • By signing this document, I swear or affirm the information recorded is true and accurate to the best of my knowledge. I understand that unless it is documented on this schedule, I am not permitted to leave my residence. I understand that only in an emergent situation may the schedule be revised.

     

    **A staff member will contact you to let you know that your schedule has been approved**

    On-Call Officer: 317-670-5094

  • Date*
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  • Date*
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