EVA GREGORY COUNSELING ON LINE - COMPLETE PROBATION CONDITIONS AND SAVE TIME AND MONEY.
ENROLLMENT FORM FOR all classes.
YOUR FULL NAME:
YOUR MAILING ADDRESS WITH CITY AND ZIP CODE.
YOUR DATE OF BIRTH:
YOUR CELL PHONE NUMBER.
ALTERNATE PHONE NUMBER
CONVICTION COUNTY, (HARRIS, BEXAR, FT. BEND, ETC):
IF ON PROBATION IN HARRIS COUNTY, YOUR SPN#
YOUR CAUSE OR CASE NUMBER:
YOUR CURRENT CHARGE:
YOUR PROBATION OFFICER'S NAME:
YOUR PROBATION OFFICER'S E-MAIL ADDRESS:
YOUR PROBATION OFFICER'S FAX NUMBER:
ANY ADDITIONAL INFORMATION TO HELP US PROCESS YOUR PAPER WORK:
GIVE US THE ADDRESS OF THE OFFICE WHERE YOU GO TO MEET YOUR PROBATION OFFICER:
YOUR CURRENT E-MAIL ADDRESS WHERE WE CAN E-MAIL YOUR CERTIFICATE:
THE DATE YOU ARE ADMITTING YOUR SELF TO CLASS. MAKE SURE THAT YOU HAVE MADE YOUR PAYMENT FOR THE CLASS.
IN What CLASS ARE YOU ENROLLING?
HOW MANY HOURS ARE YOU HAVING TO DO? (EXAMPLE: 8 HOURS ANGER MANAGEMENT; 6 HOURS ALCHOL & DRUG AWARENESS?).
SECURITY QUESTIONS TO KEEP YOUR FILE PRIVATE.
YOUR HIGH SCHOOL MASCOT:
CITY YOU GREW UP IN FROM 1ST GRADE TO 9TH GRADE:
WHAT WAS YOUR CHILDHOOD NICKNAME?
WHAT WAS YOUR FIRST PET? WHAT WAS YOUR PET'S NAME?
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