Respondent Application Form

What is Your Name

Jury of Your Peers - Are you willing to have your case heard by a jury of peers your own age, and are you willing to discuss truthfully your role in this incident and accept responsibility for your actions?

Complete a Sentence - Are you willing to complete a "sentence" designed to "repair the harm" caused and move forward in a positive way?

Support People - Please list names and numbers for any people who you would like to support you like parents, coaches, teachers, family, etc:

Voluntary Participation - Peer Court is voluntary. Please explain why you agree to participate in this program voluntarily:

Anything else you'e like to say? - Is there anything else you would like Peer Court to consider when reviewing your application?