JUVENILE COURT
INTAKE WORKER
Pursuant to DOC 399.05, Administrative Code, County Departments of
Social/Human Services are required to notify the Department of Corrections when
a person has been employed or assigned to perform juvenile court intake worker
duties as defined in s. 938.067 and s. 48.067,
WI Stats. According to s.
938.06(1)(am)1 and s. 48.06(1)(am)1, WI Stats., all intake workers who begin
employment after May 15, 1980 shall have successfully completed 30 hours of
training provided by the department.
Please
provide the following information and submit to the Dept. of Corrections prior
to the completion of the first six (6) months of employment in the position.
1) Name of Juvenile Court Intake Worker:
______________________________________
2) Employing County Agency:
_______________________________________________
3) Date of employment or assignment to perform intake
worker duties: _______________
4) Position in the agency (full time or part
time):_________________________________
Circle one
4a) If applicable please complete the following:
This person works part-time, on-call only
Number of hours per month on call: ___________
5) Supervisor and phone number: _______________________________________
___(________)___________________________
6) Check One of the Following:
___This
employee is required to complete Basic Intake Worker Training;
___This
employee completed the Basic Training on ________________________;
(Date of
certification)
___This
employee is exempt from Basic Training because s/he was hired to perform
juvenile court intake duties in WI
prior to May 15, 1980.
7) Comments:
______________________________________________________________
______________________________________________________________
______________________________________________________________
Submit to
Michelle Buehl, Juvenile Services Specialist,
Division of Juvenile Corrections,
P.O. Box 8930,
Madison, WI 53708-8930,
Phone 608.240.5914,
Fax 608.240.3371
July 9, 2001
DOC/DJC/PJE