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HomeMy WebLinkAboutFY22 JCPC COMM IN SCHOOLS TEEN COURT & MEDIATION PROG AGREEDocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE W OVA— North Carolina Department of Public Safety JCPC Program - Program Agreement SECTION I A SPONSORING AGENCY AND PROGRAM INFORMATION FUNDING PERIOD: FY 21-22 DPS/JCPC FUNDING # (cont only) 865-XXXX COUNTY: New Hanover AREA: Eastern Area Multi -County: No Multi -Components Yes NAME OF PROGRAM: Teen Court & Mediation (Restorative Justice) SPONSORING AGENCY: Communities In Schools of Cape Fear SPONSORING AGENCY 20 N. 4th St. Suite 213 PHYSICAL ADDRESS: Wilmington NC 28401 SPONSORING AGENCY 20 N. 4th St. Suite 213 MAILING ADDRESS: Wilmington NC 28401 TYPE: Non -Profit (910) 343-1901 FEDERAL ID #120-3385755 E-mail: Louise@ciscapefear.org COMPONENT ID # NAME OF PROGRAM COMPONENT PROGRAM TYPE TOTAL COST OF EACH COMPONENT 33368 Teen Court Teen Court $ 69,402 33407 Mediation / Restorative Justice Mediation/Conflict Resolution $ 43,443 Total cost of components: $ 112,845 Program Manager Name & Address (same person on signature page) Name: Louise Hicks Title: Executive Director Mailing Address: 20 N. 4th St. City: Wilmington Zip: 28401 Suite 213 Phone: (910) 343-1901 Fax: E-mail: Louise@ciscapefear.org Contact Person (if different from program manager) Name: Louise Hicks Title: Executive Director Mailing Address: 20 N. 4th St. City: Wilmington Zip: 28401 Suite 213 Phone: (910) 343-1901 Fax: E-mail: Louise@ciscapefear.org Program Fiscal Officer (cannot be program manager) Name: Sue Tucker Title: Grants Manager Mailing Address: 20 N. 4th St. City: Wilmington Zip: 28401 Suite 213 Phone: (910) 343-1901 Fax: E-mail: sue@ciscapefear.org Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION I B PROGRAM COMPONENT DESCRIPTION COMPONENT ID # COMPONENT INFORMATION 33368 NAME OF COMPONENT: Teen Court BRIEF DESCRIPTION: CIS Teen Court will provide New Hanover County youth with an opportunity for diversion from juvenile court. Trained adult and teen volunteers will act as court officials and hear complaints against eligible offenders who are currently enrolled in school, admit guilt, and have no prior criminal history. Appropriate sentencing recommendations will be made including community service, restitution, restorative justice, and participation in future Teen Court proceedings and skill -building programs. COMPONENT ID # COMPONENT INFORMATION 33407 NAME OF COMPONENT: Mediation / Restorative Justice BRIEF DESCRIPTION: The CIS Mediation/Restorative Justice program is designed to mediate disagreements between youth ages 11-18, who have been referred by SROs, law enforcement officials, school administrators, or juvenile court staff. Recognizing that students need to learn how to resolve conflicts, staff trained in mediation and/or restorative Justice practices will guide referred youth through a structured process in an effort to help them come to a positive resolution. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION II COMPONENT STATISTICAL INFORMATION Multi -Components Yes Component Service Statistics PROGRAM COMPONENT INFORMATION - APPLICATION YEAR Component Name: Teen Court Component ID # 33368 What is this component's maximum client capacity at any given time? 30 Frequency of client contact per month: 4 Anticipated Average Length of Stay: 100 Days y Total Component Cost: $69,402 - by Estimated # to be served during funding period: 60 Estimated Average Cost Per Youth: $1,157 Actual number of youth admitted FY 19-20: 0 Applies to 0 Number of admissions Juvenile Justice Referred 0% of total admissions continuation programs only. 0 Number of admissions Law Enforcement Referred 0% of total admissions 0 Number of admissions District Court Referred 0% of total admissions Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 01/09/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION III I COMPONENT SUMMARY NAME OF COMPONENT: I Teen Court 1. Statement of the Problem: In concise terminology, describe how the program will address continuum need(s) in the county. The juvenile court system in New Hanover County lacks court diversion programs for first-time offenders. NC DPS Division of Juvenile Justice County Databook 2019 reported 394 juvenile complaints and a delinquency rate of 15.69. Of those, 216 (55%) were minor Class 1-3 offenses. These types of defendants are less likely to re -offend. The DPI Consolidated Data Report 2019-2020 showed New Hanover County Schools had 74 reportable crimes, or 9.175 per 1.000, with 2,910 short-term suspensions and 10 long-term. The New Hanover County Risk and Needs Assessment 2019-2020 shows 42.9% of juveniles have a risk level of 3 or less. 61.2% have no prior adjudication. 87.1 % are age 12 or over at the time of their 1 st offense. 61.2% report moderate to serious school discipline issues. 61.2% report rejection by peers, negative peer association, or gang membership/affiliation. 59.9% report moderate to serious problems in school. 83% have mental health needs that have been addressed or need more assessment. 30.8% have prior assaultive behavior and 43.3% have a history of alcohol and substance use. 50.4% have prior referrals to juvenile court; 13% were under the age of 12 at referral. 46% have a family history of criminality or court/gang involvement. 46% of parents report marginal or inadequate parenting skills; while 21.4% report they are unable or unwilling to provide adequate supervision. CIS Teen Court will offer an alternative to juvenile court and an opportunity for first time offenders to avoid a court record/ It will provide comprehensive intervention and support to the juvenile participants, and will focus on diversion of misdemeanor offenses. Per the Juvenile Reinvestment Report from the N.C. Commission on the Administration of Law and Justice, evidence -based research suggests adolescents are less culpable than adults; the majority of youth offenders age out of the behavior with full maturity. CIS Teen Court will offer the opportunity to learn skills to manage negative behavior. CIS Teen Court will provide juveniles with a multi -faceted plan including Restorative Circles, essays/apology letters, future jury duty, monitoring of school attendance and academics, and referrals to restitution opportunities. Success in sentence completion and program participation will be monitored, and participants will be tracked one-year post - sentence completion to determine recidivism. CIS Teen Court will support protective factors to address the continuum of risk and needs in New Hanover County by providing evidence- and/or research -based programs shown to be effective with juvenile offenders; providing services that are outcome -based and evaluated; and collaborating with SRO's, the WPD, and the NHC Sheriff's Office to detect gang participation and make referrals to diversion programming. Additional benefits include addressing juvenile and family needs with a focus on prevention and education, and providing opportunities for effective service provider collaboration. 2. Target Population: Describe the target population, including age, and the steps taken to insure that the target population is served. Our target population is youth, ages 11-18, who have been petitioned or law enforcement referred for misdemeanor offenses. Partnerships with SROs, Juvenile Services, and District Court will allow these juvenile offenders the opportunity to participate in the Teen Court program if the Court Intake Counselor finds they are eligible, willing to admit responsibility for their actions, and willing to complete the program. If the offender successfully completes Teen Court sentencing requirements within a 90 -day period, his/her record will be completely cleared. The program will also provide opportunities, as applicable and at certain school sites, for participants to receive additional services at no cost, including but not limited to Restorative Justice Circles and Integrated Student Supports. Additionally, at -risk youth Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION III COMPONENT SUMMARY NAME OF COMPONENT: Teen Court and first-time offenders will be encouraged to volunteer in the program at the end of their sentence, continuing beneficial services and interaction with pro -social peers. A secondary population served by Teen Court is the parents/guardians of these juveniles. Through deep -reaching partnerships, CIS will strive to refer families to parenting education and support groups that focus on improving parenting skills and parent/child relationships, whereby introducing a preventative component to this intervention, as other siblings in the household may avoid the juvenile justice system by being exposed to better parenting and less discord. By focusing both the juvenile and the family on developing better coping skills, positive social activities and peer groups, and enhancing their knowledge and ability to have more positive interactions within their family, we will reduce the risk of re -offending or having other family members enter the juvenile justice system. 3. Program Goal(s): Provide a brief statement to describe the overall purpose of the program. The primary goal of the program is to reduce the number of juvenile offenders entering the court system. Juveniles accept responsibility for their actions and are held accountable by their peers. Defendants will receive sentences and for community service/restitution, jury duty at future Teen Court sessions, writing letters of apology, and counseling/educational sessions to learn coping mechanisms, and learn effective communication skills with peers/ parents/authority figures. Opportunities will be provided for juvenile offenders to participate in Restorative Justice Circles and in -school support services at no additional cost. Parents will be referred to programming to help them learn parenting skills, positive disciplinary techniques, and communication skills in addition to problem -solving current areas of concern. Through successful participation in Teen Court, a defendant can avoid a juvenile court record, which would negatively affect his/ her opportunities to enter college, trade school, the military, or obtain employment. 4. Measurable Objective(s): State in measurable terms (%) the intended effect of the program on specific undisciplined and/or delinquent behaviors. Example: anticipated reductions in court referrals, runaway behavior, disruptive behavior at school, anticipated improved school attendance and academic achievement. These objectives must include impact on participants. 75% Clients will have no new adjudications for a complaint with an offense date after the admission date. 75% Clients successfully/satisfactorily completing the program will have no new complaints in the 12 months following completion. 75% Clients will successfully or satisfactorily complete services as intended by the program design/service plan. 75% Clients successfully/satisfactorily completing the program will have no new adjudications in the 12 months following completion. 75% Clients will demonstrate improvement in developing and/or maintaining social and interpersonal interactions during program participation. 75% Clients will have no new complaints with an offense date after the admission date. 5. Elevated Risks and Needs: Describe how you will address one or more of the Elevated Risk and Needs of adjudicated juveniles listed in the local JCPC Request for Proposal. NC DPS Division of Juvenile Justice County Databook 2019 reported 394 juvenile complaints and a delinquency rate of 15.69. Of those, 216 (55%) were minor Class 1-3 offenses. These types of defendants are less likely to re -offend. The DPI Consolidated Data Report 2019-2020 showed New Hanover County Schools had 74 reportable crimes, or Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION III I COMPONENT SUMMARY NAME OF COMPONENT: I Teen Court 9.175 per 1.000, with 2,910 short-term suspensions and 10 long-term. The New Hanover County Risk and Needs Assessment 2019-2020 shows 42.9% of juveniles have a risk level of 3 or less. 61.2% have no prior adjudication. 87.1 % are age 12 or over at the time of their 1 st offense. Teen Court is specifically designed to serve youthful 1 st time misdemeanor offenders who have a low likelihood of recidivism if they receive intervention and support, and an opportunity to learn from their experience and gain new skills. Per county Risk Data, 83% have mental health needs that have been addressed or need more assessment. CIS Teen Court will complete a basic risk assessment at intake and will work with community partners to ensure emotional/ mental health needs or issues from trauma are referred for proper assessment and intervention. Additional Risk Data shows that 61.2% report rejection by peers, negative peer association, or gang membership/ affiliation. 59.9% report moderate to serious problems in school. 30.8% have a history of prior assaultive behavior and 43.3% report alcohol and substance use. 50.4% have prior referrals to juvenile court; 13% were under the age of 12 at referral. CIS Teen Court will provide sentencing requirements that engage defendants in positive social situations and promote pro -social behaviors, which may include community service, apology letters, participation in mediations, Restorative Justice Circles, and serving as a juror at future Teen Court sessions. Juveniles will also be required to attend school, maintain satisfactory grades and show positive conduct, with compliance tracking. The Risk and Needs Assessment further identified that 46% have a family history of criminality or court/gang involvement, and 46% of parents report marginal or inadequate parenting skills. 21.4% of parents report they are unable or unwilling to provide adequate supervision, and 72% of juveniles exhibited moderate to serious school discipline issues. Addressing the needs of both the juvenile and family will be key to the success of CIS Teen Court. As appropriate, parents will be referred to educational classes and/or parenting groups to learn the importance of peer relationships and developing skills and confidence to help their teens establish new behavior patterns. In doing so, a shared sense of purpose will be established as they work together to improve behaviors and interactions with one another and their community. This multi -faceted family support approach will also help deter juveniles' siblings from entering the juvenile court system. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Teen Court 1. Location: List physical address(es) and describe where program services are delivered. The CIS Teen Court / Mediation (Restorative Justice) Coordinator and Assistant will work out of the CIS offices both at The Harrelson Center, 20 N. 4th Street, Wilmington, NC 28401, and at the CIS WIRE Youth Center, 1102 Orange Street, Wilmington, NC 28401, where they will meet with juvenile offenders and their families and complete administrative duties to support the successful operation of CIS Teen Court. Through our existing and strong relationship with New Hanover County Schools, they will also have access to space within the district's schools for those meetings upon SRO referral, to enable ease of access for parents and juvenile offenders. CIS Teen Court sessions will be held in designated areas within the New Hanover County Courthouse and/or New Hanover County School facilities. Restorative Justice Circles and Mediations will be held at relevant school sites, or at the CIS youth center, WIRE, at 1102 Orange Street. Parenting programs will be held according to the implementing organizations' location and schedules. 2. Operation: Describe the daily/weekly schedule of program operation. The CIS Teen Court / Mediation (Restorative Justice) Coordinator and Assistant will work out of the CIS offices both at The Harrelson Center and 1102 Orange Street, where they will meet with juvenile offenders and their families and complete administrative duties that will support the successful operation of CIS Teen Court. Through our existing and strong relationship with New Hanover County Schools, they will also have access to space within the district's schools for those meetings upon SRO referral, to enable ease of access for parents and juvenile offenders. The Coordinator will available 5 days per week at either their office location or via cell phone, and at other times via cell phone if needed. All records and equipment will be kept in a secured area that will be closed to the public. CIS Teen Court sessions will be held in designated areas within the New Hanover County Courthouse and/or New Hanover County School facilities. Restorative Justice Circles and Mediations will be held at relevant school sites, or at the CIS youth center, WIRE, at 1102 Orange Street. Parenting programs will be held according to the implementing organizations' schedules. Referrals will be accepted daily from Student Resource Officers, DJJDP; Law Enforcement and/or District Court Counselors. CIS Teen Court will be held at least once a month. In addition to traditional Teen Court proceedings held monthly at the courthouse utilizing a full jury, attorney mentors, and a judge, tribunals may held when a defendant is unable to participate in a full peer jury court room hearing due to an identified mental, emotional, learning or other disability that makes it unlikely he/she can successfully participate in those proceedings. The same sentencing guidelines and all other Teen Court processes will be adhered to during a tribunal. The other time a tribunal may be used is when it is not appropriate or is detrimental to delay a case due to a lack of adequate peer jurors, attorney mentors, and/or judges to hear a case. In that situation, at the discretion of the Teen Court Coordinator, a tribunal may be held. 3. Staff Positions: Describe paid or volunteer position qualifications, (certifications, degrees, work experience) and position(s) responsibilities relative to this component. The CIS Teen Court / Restorative Justice Coordinator and assistant will be supervised by the CIS Director of Operations, Marrio Jeter. Along with the program coordinator, Mr. Jeter will attend JCPC meetings and provide reports on program progress at monthly meetings. He will supervise the Teen Court Coordinator, providing feedback and oversight, and ensuring compliance with program fidelity and grant reporting. CIS leadership will also be responsible for community awareness of the Teen Court program and ensuring all other funding sources and in-kind supports are Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-5l FOl E6751 DE SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Teen Court in place to support the program. The CIS Teen Court / Restorative Justice Coordinator will have a minimum of a bachelor's degree in criminal justice, education, or human services related field, and be a trained mediator. They will have extensive experience working with at -risk youth and their families, possess excellent communication skills, be detail oriented, and work well with both parents and teens. They will be responsible for all aspects of the program, including but not limited to maintaining and/ or building relationships with referring entities, accepting referrals, interviewing defendants/parents, recruiting/ training volunteers, collecting data, referring to and scheduling, as needed, counseling/ education/support sessions, evaluating defendants' completion of program, attending JCPC monthly meetings, and reporting outcomes to stakeholders. The CIS Teen Court / Restorative Justice Assistant will have a minimum of a bachelor's degree in criminal justice, education, or human services related field, and extensive experience working with at -risk youth and their families. In addition to assisting with the facilitation of CIS Teen Court and Mediation / Restorative Justice programs, they will support volunteer recruitment, marketing, community outreach, partnership development, and other duties as assigned. The Administrative Support personnel will manage payroll for the project staff, manage accounts payable and receivables as related to the project, and prepare monthly revenue and expense reports. Teen Court Aides will be present for each of the CIS Teen Court Sessions, and will have experience volunteering with prior Teen Court sessions. They will monitor student volunteers, confirm positions, record and confirm the adult jury monitors, ensure jury sign -in sheets are renewed between defendants, maintain the sentencing and disposition sheet, ensure required participant surveys are completed, and perform other administrative duties as assigned. Adult volunteers, including local attorneys and judges will serve. as judges, attorney mentors, jury monitors and role models. Teen volunteers will serve as attorneys and jury members. 4. Service Type SPEP: Describe implementation to include: This program is a STRUCTURE ONLY. 5. Admission Process: Describe the specific referral, screening, admission process (including timeline), the staff responsible for making decisions about admissions and reasons why a referral may not be accepted. Referrals may be made by school resource officers, law enforcement, juvenile justice, district court, or area attorneys for youth ages 11-18 who have committed an offense of less than an Al misdemeanor. The Teen Court Coordinator will make contact with the juvenile & their parent/guardian upon referral. A referral will not be accepted if the offender is over 18 years of age at the time of offense, if the offender or parent/ guardian are not willing or able to complete all requirements of the Teen Court process, or if the offender has a record of prior offenses. If the offense is outside the parameters of offenses intended to be diverted to Teen Court, a referral to Juvenile Court would be made. To be eligible for Teen Court, offenders must admit responsibility for their actions and be willing to complete the program. An intake appointment will be arranged to review program guidelines, participation requirements, completion dates, expected outcomes, obtain informed consent to participate, review consequences for non-compliance and obtain signatures agreeing to terms. A court date will be set for the offender at this appointment during which a sentence will be delivered by a jury of the offender's peers. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION IV I COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: I Teen Court The Teen Court Coordinator will be responsible for conferring with the referral source for each case to ensure the referral is appropriate for Teen Court and that all relevant, required information has been provided to hear the case and determine sentencing. If the parent and student refuse to participate in the Teen Court Program, the Teen Court Coordinator will immediately notify the referral source. It is also the responsibility of the Teen Court Director to monitor all sentencing completion in determining the defendant's successful or unsuccessful completion of the Teen Court Program. Upon arrival to Teen Court, the juvenile will meet with students assigned as their attorneys and their adult attorney mentor. The trial, designed to mirror a genuine court proceeding, will begin and mitigating/ aggravating factors will be presented. The sentence may include up to 20 hours of community service/restitution, participation on the jury of future Teen Court sessions, participation in Restorative Justice Circles, letters of apology, maintaining all lawful commands of parents, and school attendance and grades. The defendant and their parent will be required to sign the Sentencing Form at the conclusion of their hearing and will then be referred to the County's Restitution Program for completion of community service. Offenders must complete their sentence within a maximum of 90 days, stay in school and not re -offend during their stay in Teen Court. Parents are required to attend intake, attend court with their child, and attend any supports to which they are referred. If a juvenile fails to complete his/her sentencing terms as required, his/her case will be sent back to referring agency for further disposition. 6. Termination Process: Describe the termination process to include the staff responsible for making decisions and the criteria for a successful termination, satisfactory termination, unsuccessful completion and non-compliant termination. Upon sentencing completion, an exit interview will be conducted with both the defendant and their parent/guardian to review the defendant's progress. Emphasis will be placed on lessons learned, and on developing plans and goals for the future. The juvenile will be followed for 1 year after sentence completion to track recidivism. The Teen Court Coordinator will meet with/notify the referring agency as to the successful program completion of the juvenile. Any action other than a successful completion will be reviewed with the referring agency, parent and juvenile. Any juvenile offender who does not successfully complete Teen Court and comply with all guidelines will be deemed non-compliant, terminated from Teen Court and referred back to the referring agency. Reasons for unsuccessful completions would be if the offender re -offended either at school or within the community between their intake appointment and the 90 -day deadline for completion, or not completing any aspect of the program within the agreed-upon 90 -day window. Other terminations will include: - Refusal to participate in the program (at which point the offender will be referred back to the initial referring agency). - Moving out of state / County - Involuntary commitment of the offender How is the referring agency involved with the termination process? The Court Intake Counselor, Law Enforcement, School Resource Officer, and/or District Attorney's Office will be notified by the Teen Court Coordinator of successful sentence completion. Any action other than a successful completion will be reviewed with the referring agency, parent, and the juvenile, who will then be referred back to the Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Teen Court referring party for disposition. 7. Referring Agency Interaction: Describe the interaction with juvenile court counselors and/or other referring agencies including how client progress will be communicated. Referrals may be made by school resource officers, law enforcement, juvenile justice, district court, or area attorneys for youth ages 11-18 who have committed their first offense of less than an Al misdemeanor. The Teen Court Coordinator will make contact with the juvenile & their parent/guardian upon referral. A referral will not be accepted if the offender is over age 18 at the time of the offense, if the offender or parent/ guardian is not willing or able to complete all requirements of the Teen Court process, or if the offender has a record of prior offenses. If the offense is outside the parameters of offenses intended to be diverted to Teen Court, referral to Juvenile Court would be made. The Teen Court Coordinator will be responsible for conferring with the referral source for each case to ensure the referral is appropriate for Teen Court and that all relevant, required information has been provided to hear the case and determine sentencing. If the parent and student refuse to participate in the Teen Court Program, the Teen Court Coordinator will immediately notify the referral source. It is also the responsibility of the Teen Court Director to monitor all sentencing completion in determining the defendant's successful or unsuccessful completion of the Teen Court Program. The program coordinator will be in constant contact with the referral source throughout the intake, enrollment, and teen court process. The defendant and their parent will be required to sign the Sentencing Form at the conclusion of their hearing and will then be referred to the Restitution Program for completion of their sentence, which must be completed within a maximum of 90 days. They must also stay in school and not re -offend during their Teen Court participation. Parents are required to attend intake and court with their child, and attend any supports to which they are referred. If a juvenile fails to complete his/her sentencing terms as required, his/her case will be sent back to the referring agency for further disposition. Continued communication with the referring entity will be critical for feedback to the program coordinator. 8. Intervention/Treatment: Describe specifically what the component will do to redirect inappropriate youth behavior or how the component will address the identified needs of the youth and family. What interventions will typically be utilized in this component and how will parents/guardians be involved? A structured service plan of learning (Sentence) will be developed for defendants to address behavior problems, drug - alcohol prevention and peer pressure. Sentencing will hold youth accountable for future actions including school attendance, achieving satisfactory grades, and not committing further offenses. Educational workshops for youth will provide skills to improve juvenile's decision making, communication, conflict resolution, and gang and drug resistance, thereby reducing negative behaviors. Participation in future Teen Court jury duty will increase the defendant's access to positive peers. Completion of community service will provide exposure to pro -social activities , positive role models and volunteerism, supporting positive character development. By attending the referred parenting classes as applicable, parents/guardians can learn better disciplinary techniques and communication that can be applied when working with their children, thus empowering them to become more effective, proactive parents. Youth listen to and are influenced by their peers. Juveniles who are held accountable for their behavior by their peers are more likely to listen and make changes to their behavior. Volunteer jurors recognize and "reward" positive behaviors such as after-school involvement, satisfactory grades, commitment to stay in school, Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION IV I COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: I Teen Court and future goals, as seen in their jury verdict. In order to complete their constructive sentence, juveniles and their families work on family accountability and relationships. Healthy attitudes concerning family, discipline, consequences and education are encouraged and reinforced in peer circles and parenting groups. Community Service allows youth to work and learn from adults who support community activities and allows them to be exposed to positive activities that also serve others. Incentives, usually in the form of a snack prior to the start of each Teen Court session or a year end gathering for recognition of service, is provided to students who volunteer their time to hear the cases of their peers. The use of incentives helps contribute to their commitment to the program and shows they are appreciated and valued as part of the Teen Court process. 9. Best Practice Model: Describe what model or evidence-supported/best practice the program is based upon. CIS Teen Court program will use the National Youth Court Guidelines - authored by Tracy Godwin with Michelle Heward and Thomas Spina. According to the National Center for Mental Health Promotion and Youth Violence Prevention, "these best practice guidelines were developed by a panel of experts in the following program areas: program planning and community organization, program staffing and funding, legal issues, identified respondent population and referral process, program services and sentencing options, volunteer recruitment and management, volunteer training, operations and case management, and program evaluation. Guidelines were developed to promote best practices, effectiveness, and program accountability." Restorative practices to deal with crime and wrongdoing are recognized as evidence -based practices according to extensive research and there is support now too that restorative justice is evidence -based for school discipline. The Council of State Governments issued a report in 2014 and recommends restorative practices for school discipline and states that it is evidence based along with other interventions including Positive Behavioral Interventions and Support (PBIS). p. 14 (http://csgjusticecenter.org/wpcontent/uploads/2014/06/ The_School_Discipline_Consensus_Re port.pdf) The CIS Model of Integrated Students Supports is supported by research from organizations including Child Trends and the Everyone Graduates Center at Johns Hopkins University. Child Trends asked the question, "Does ISS Work?" and embarked on a comprehensive and rigorous review of the "theoretical, empirical, practice and evaluation findings that underlie integrated students supports as an approach". (Child Trends White Paper, February 2014) Key findings support the CIS Model. Emerging evidence from quasi -experimental studies (including CIS National) finds that ISS can contribute to decreases in grade retention and school dropout, and increases in attendance, math achievement and overall GPA. As a student -centered approach, ISS is firmly grounded in the research on child and youth development. Providing an array of academic and non-academic supports in a coordinated manner (as in the CIS Model) is more effective than a focus on one or a few supports. Child Trends concludes that evidence supports the effectiveness and cost-effectiveness of integrated student supports to improve educational outcomes. Additionally, all mediation and Restorative Justice Circle facilitators will have been formally trained and/or certified to implement the respective intervention / support with fidelity. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION II COMPONENT STATISTICAL INFORMATION Multi -Components Yes Component Service Statistics PROGRAM COMPONENT INFORMATION - APPLICATION YEAR Component Name: Mediation / Restorative Justice Component ID # 33407 What is this component's maximum client capacity at any given time? 15 Frequency of client contact per month: 4 Anticipated Average Length of Stay: 90 Days y Total Component Cost: $43,443 - by Estimated # to be served during funding period: 40 Estimated Average Cost Per Youth: $1,086 Actual number of youth admitted FY 19-20: 0 Applies to 0 Number of admissions Juvenile Justice Referred 0% of total admissions continuation programs only. 0 Number of admissions Law Enforcement Referred 0% of total admissions 0 Number of admissions District Court Referred 0% of total admissions Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 01/09/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION III I COMPONENT SUMMARY NAME OF COMPONENT: I Mediation / Restorative Justice 1. Statement of the Problem: In concise terminology, describe how the program will address continuum need(s) in the county. Conflict between youth in a school or community setting is a natural occurrence and is typically thought of in a negative way, however that perception can be re -framed to view conflict as an opportunity for growth. Mediation and restorative justice practices are tools that can be utilized to help facilitate this growth and to promote positive conflict resolutions. Conflict presents itself in almost every facet of our lives at some point, so we should equip youth at an early age with skills they need to positively resolve conflict, whereby avoiding escalation of the conflict, or leading to more negative, potentially criminal behaviors. Peer relationships are the focal point of adolescent development and our youth need to be educated in conflict resolution in an effort to support healthy relationships and yield positive outcomes. When conflicts occur, most youth lack the developmental maturity to resolve issues without adult guidance. Not only is it important to work with youth to help build their skills, but it is necessary to create and support climates where mediation/conflict resolution is fostered. Implementing restorative justice practices within our schools is one strategy proven to yield success on this front. Mediation and Restorative Justice are philosophies of repairing the harm done by crime by involving the parties affected by the crime. Using Restorative Justice principles, trained staff will facilitate a structured process through which the victim and juvenile offender, and other parties involved (or affected by the offense), sit down together in a safe environment with a neutral, trained facilitator. Through this process, the juvenile is held accountable for the offense, the victim can discuss the impact of the offense, and both parties negotiate together what should be done to repair the harm that was done. Program participation will be voluntary and confidential. Using these models, juveniles are diverted from court, but are still held accountable for their actions. Juveniles need to learn from an early age how to resolve disputes. Frequently, disputes that could be resolved quickly and easily turn into major disagreements because students have never been taught valuable conflict resolution skills and techniques. Youth need to learn in a structured setting how to use techniques to resolve issues in a peaceful, respectful manner. Many times, juveniles are charged with crimes due to the fact that there are few alternative solutions. A diversionary program such as this can assist juveniles after adjudication. There are few resources to address criminal behavior in juveniles prior to adjudication and as a result, many students fail to understand the consequences of their behavior and continue to re -offend. These children continue to experience high rates of school suspensions, create victims within the community, and are repeatedly referred into the criminal justice system. 2. Target Population: Describe the target population, including age, and the steps taken to insure that the target population is served. The target population for the CIS Mediation / Restorative Justice Program is middle and high school students (ages 11 to 18) referred by New Hanover County Schools administrators, school resource officers/law enforcement, or juvenile court counselors. This program is designed to serve youth on diversion plans, or youth that are at -risk, and will accept clients involved in verbal and physical altercations. Youth who are at risk for becoming involved in more serious infractions at school, in the community, or with law enforcement would also benefit from this program. Participants will have the opportunity to work through their dispute in a face-to-face setting with a trained, adult facilitator guiding them through the process. They would then have the opportunity to continue to work with the facilitator either individually, or together as needed. Many of our students live close together and bring neighborhood Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION III COMPONENT SUMMARY NAME OF COMPONENT: Mediation / Restorative Justice problems into the schools, or vice versa. By creating a program allowing for referrals from the schools and the juvenile system, we aim to divert problems that may continue in the community until they are dealt with and a resolution is found. By utilizing mediation / restorative justice tools, guided by a trained facilitator, participating youth will gain an understanding of what drives their conflict, as well as how to appropriately and safely find resolutions thereto. Parents and families can also benefit from engaging in this work. School administration and the SROs will be involved in student referrals at the school level. When fights take place, the SRO and administration will determine if they are appropriate for referral to mediation / restorative justice intervention. Juvenile court counselors and probation officers would make direct referrals to the mediation program as a means of diversion. This would be a first step, prior to teen court referral, if deemed appropriate for referral, following the School -Justice Partnership Agreement guidelines. 3. Program Goal(s): Provide a brief statement to describe the overall purpose of the program. The overall purpose of the program is to provide youth with life-long conflict resolution skills. We aim to work with youth who have behavior programs, anger issues, and/or poor social skills. If students can learn how to resolve conflicts, referrals to School Resource Officers and Juvenile Court should be lower. This in turn would keep students in school and hopefully keep them on track for graduation from high school. Through Mediation/Restorative Justice practices, students will be given the opportunity to think in a creative manner about how to resolve their conflicts without resorting to name calling, fighting, angry feelings, or even sad feelings because of feeling unable to control their issues. Mediation/Restorative Justice will provide a healthy atmosphere in which students will be guided through a structured process and allowed the opportunity to focus their energy and attention on positively affecting change. The focus becomes one of problem solving rather than getting even or hurting others in some way. The Mediation/Restorative Justice Program would be offered as an alternative prior to a referral to teen court in some situations. The Mediation/Restorative Justice process provides participants with a structured way to settle an issue within the school or community, and the outcomes/resolutions will be the solutions that have been agreed upon by all parties involved. As with most agreements, juveniles usually follow through more readily when they are involved in developing a solution that they feel comfortable with. If students have more control over the outcome, they typically will more readily follow through with the agreed upon resolution plan. Other goals of this program include the following: 1) Provide mediation or restorative justice services to New Hanover County juveniles to reduce the number of criminal complaints sent to the criminal justice system, and to reduce the number of school suspensions. 2) Provide mediation and restorative justice services as a court diversion program. 3) Provide a safe, impartial atmosphere for juveniles to learn how to resolve conflicts. 4) Teach our youth how to address conflicts in peaceful manner. 5) Using interventions early on to resolve conflicts that could escalate into more serious conflict. 4. Measurable Objective(s): State in measurable terms (%) the intended effect of the program on specific undisciplined and/or delinquent behaviors. Example: anticipated reductions in court referrals, runaway behavior, disruptive behavior at school, anticipated improved school attendance and academic achievement. These objectives must include impact on participants. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION III I COMPONENT SUMMARY NAME OF COMPONENT: I Mediation / Restorative Justice 75% Clients will have no new adjudications for a complaint with an offense date after the admission date. 75% Clients will demonstrate accountability for their actions within the scope of the mediation process. 75% Clients will successfully or satisfactorily complete services as intended by the program design/service plan. 75% Clients successfully/satisfactorily completing the program will have no new complaints in the 12 months following completion. 75% Clients will have no new complaints with an offense date after the admission date. 75% Clients will enter into a mediation agreement. 75% Clients successfully/satisfactorily completing the program will have no new adjudications in the 12 months following completion. 5. Elevated Risks and Needs: Describe how you will address one or more of the Elevated Risk and Needs of adjudicated juveniles listed in the local JCPC Request for Proposal. This program will address behavior problems, poor peer relationships, and youth with aggressive behaviors. Schools, SROs, juvenile court counselors, or probation officers may refer students to mediation for verbal or physical altercations. During the mediation and/or restorative justice sessions, the trained adult facilitator will guide the juvenile offender and victim through a structured process through which they will address the cause of the altercation and work to repair the relationship. By teaching juveniles how to peacefully resolve their issues, we can prevent their conflicts from becoming physical or continuing to cause other disruptive behaviors or feelings. Designed as an option for resolving issues prior to being referred to Teen Court or to Juvenile Court, this program will help to prevent school fights, community problems, and/or behaviors that result in charges of assault, affray and disorderly conduct. Schools and juvenile court staff may use the program as a preventive measure when they realize juveniles are having problems, but before those problems culminate in assaultive or disruptive behavior. The mediation/ restorative justice process provides an opportunity to assist participants in understanding the underlying issues related to their problem, a chance for the offender to take full responsibility, and a chance for the offender and the victim to enter into an agreement which will repair the harm that has already been done. Upon receiving a referral, the participants will be contacted by the program coordinator to schedule a meeting. Participants will initially meet individually with the program coordinator and, if applicable, the CIS Student Support Specialist at their school, in an effort to prepare them for an eventual face to face meeting with the other youth(s) involved. These meetings will take place at a designated office at the participants' school. When the facilitator feels the participants are ready, the face-to-face mediations/restorative justice session(s) will occur. The first part of the session provides an opportunity for the participants to meet and learn more about each other and how they have been harmed during the altercation, etc. Next, the participants will inform each other about why and how the conflict occurred. This allows an opportunity to gain much needed information from each other and to more fully understand what led them to this situation. After this, each participant identifies their losses; and finally, the parties enter into an agreement that spells out what actions will be taken to repair the damage done by the behavior. The mediator/facilitator or the referring agency may determine additional sessions are required for both clients, or individually, and will plan accordingly. If the agreement is fulfilled and the parties are satisfied, the case will be closed and follow up will be provided to ensure the participants continue to honor the agreements that they have agreed to follow. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Mediation / Restorative Justice 1. Location: List physical address(es) and describe where program services are delivered. Mediations/Restorative Justice activities will take place in an office at the participants' school. Preferably, this space will allow for a conference table where students and the mediator can meet in a quiet, professional location. The space needs to be in an environment free from noise and from the traffic of other activities at the school so that the meetings can remain confidential, and in a safe zone, where students feel comfortable speaking and following through as they attend meetings. If school space is not available, they will take place at the CIS Youth Center, WIRE, 1102 Orange Street, Wilmington, NC 28401. 2. Operation: Describe the daily/weekly schedule of program operation. Mediations / Restorative Justice sessions will be held at the participants' school during the school day, or outside of school hours at the CIS Youth Center, WIRE, 1102 Orange Street, Wilmington, NC 28401. The Teen Court / Restorative Justice Program Coordinator will process referrals, schedule intakes, consult with the referring agencies, and follow up with parents, completing all required NC Allies documentation and any other tasks deemed appropriate. If applicable, they will coordinate with the CIS Student Support Specialist on site at the school to schedule restorative sessions and will provide training for staff as needed, utilizing the assistance of Professor Kim Cook from UNC Wilmington. 3. Staff Positions: Describe paid or volunteer position qualifications, (certifications, degrees, work experience) and position(s) responsibilities relative to this component. The Teen Court / Restorative Justice Program Coordinator will be the trained mediator and will manage this program. They will have at least a bachelor's degree or higher in political science, criminal justice, law, social work, sociology, counseling, or of similar background. The program coordinator will also complete mediation training, and ensure the training is kept current. Additionally, existing CIS school-based staff who are trained in restorative practices may facilitate sessions at their school sites. The successful Teen Court / Restorative Justice Program Coordinator will be self-directed and responsible for making school administrators, school resource officers, and juvenile court staff aware of the opportunities for providing this program. They will have extensive experience working with at -risk youth and families and be willing to go the extra mile as needed in an effort to plan and implement this program. They must be professional in working with youth, parents, and school administrators, as well as SRO's and court staff. They will attend any JCPC required conferences or seminars, as well all DPS required program orientations and trainings, and will document program data in NC Allies as required by all JCPC funded programs. 4. Service Type SPEP: Describe implementation to include: This program is a STRUCTURE ONLY. 5. Admission Process: Describe the specific referral, screening, admission process (including timeline), the staff responsible for making decisions about admissions and reasons why a referral may not be accepted. Referrals will be received from school administrators, school resource officers, juvenile court counselors, or law enforcement officials. This program may be used by juvenile counselors as part of the diversion plans. The program coordinator will receive and process the referral, then schedule the intake sessions at the participant's school. During this intake, all agreements will be signed and materials explaining the program activities and goals will be given to Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Mediation / Restorative Justice youth and parents as needed. All information will be documented in NC Allies. It is extremely important for the program coordinator to meet with the student who is being referred within the week that the referral is received, or at the beginning of the next week if the referral is received at the end of a given week, to ensure timely conflict resolution. Mediation/restorative justice sessions should begin immediately after it is determined that a referral is appropriate - middle and high school youth do not need to wait for several weeks for a conflict to be resolved. The ideal is for all sessions to begin and be completed within a ten-day time period, though support services may continue as needed. This program will provide the flexibility of serving clients on a one-time basis, or by providing additional follow-up sessions as needed. For some cases, the resolution may be resolved and the terminations made after one session. For others, the mediation process may require additional sessions or more activities for completion of the program. 6. Termination Process: Describe the termination process to include the staff responsible for making decisions and the criteria for a successful termination, satisfactory termination, unsuccessful completion and non-compliant termination. Once the mediation/restorative justice sessions have been completed, the program coordinator will follow up with the youth for a minimum of 30 days after termination to ensure the conflict remains resolved, and will include the referring agency in this process. Youth will be allowed to participate in additional sessions if the conflict is not completely resolved, or if the agreement needs to be revisited. The program coordinator and/or session facilitator and the referring agency will determine if one session is adequate for the clients or if additional hours/work needs to be involved. The program coordinator will remain in contact with the referring agency while these needs are assessed. After 90 days, clients will be terminated unless the referral source requests another mediation or unless youth needs additional support/reinforcement of mediation concepts. If the conflict is resolved, the termination will be successful. If the problem continues after several attempts at mediation during the 90 -day period, the termination will be considered unsuccessful. Non-compliant termination would result if there is no progress and the mediation is never completed. How is the referring agency involved with the termination process? The program coordinator will also follow up with the referring agency as needed during this process to find out if the problem has been resolved, and to determine if there are any positive or negative behavior changes. The referring agency will be involved as the plan for the client is developed. Emails and phone calls are considered essential during this process. Weekly follow-up with the referral agency may be needed in some cases. The referring agency will be contacted to determine any additional assistance that is needed in working with clients. 7. Referring Agency Interaction: Describe the interaction with juvenile court counselors and/or other referring agencies including how client progress will be communicated. The program coordinator will be in constant contact with the referral source throughout the intake, enrollment, and mediation/restorative justice process. Additionally, they will communicate weekly with referral sources and participants after the mediation/restorative justice sessions have been completed. The agreement plan will be discussed with the referring source to discuss progress and to determine if the plan has been successfully completed. All parties will be allowed to provide feedback as to whether or not there are additional issues between participants. Communication will be made when the referral is received, after intake, after mediation, and follow up communication during the 30 days. Communication with the referring agency will be critical for feedback to the program coordinator. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION IV COMPONENT NARRATIVE (attach for each component) NAME OF COMPONENT: Mediation / Restorative Justice 8. Intervention/Treatment: Describe specifically what the component will do to redirect inappropriate youth behavior or how the component will address the identified needs of the youth and family. What interventions will typically be utilized in this component and how will parents/guardians be involved? Parents will be notified of whether a client is eligible or ineligible to participate in mediation/restorative justice sessions. Parental consent will be required and program sessions and activities will vary depending upon the need of the individual client. Mediation/Conflict resolution sessions, Restorative Justice Circles, and social skill building will be the focus of the program. Some cases may be successfully resolved after the first session. However, the mediator or session facilitator will determine what the plan will consist of, and whether or not additional sessions should be required. If inappropriate behavior is observed during this program, every effort will be made to schedule additional one -to-one meetings with students. Some students may need the additional support in an effort to prepare them for the actual mediation. If a parent does not give consent or if a student refuses to cooperate, they will not participate in the program. During this process other issues could arise indicating the need for other services, such as the services of the school counselor or social worker, or additional mental health supports. If there are needs that indicate immediate danger, the necessary agencies will be contacted. Parent/guardians will be involved as needed. 9. Best Practice Model: Describe what model or evidence-supported/best practice the program is based upon. Evidence -based practices/programs to be implemented within the CIS Mediation/Restorative Justice Program include, but are not limited to, Mediation, Restorative Practices, and the CIS model of integrated student supports. Mediation is a restorative process that provides an opportunity for the victim to meet the offender in a safe space to resolve a conflict assisted by a trained mediator. The models to be used are victim -offender mediation and basic mediation. Using these models, juveniles are diverted from court, but held accountable for their actions. Restorative practices to deal with crime and wrongdoing are recognized as evidence -based practices according to extensive research, which supports that restorative justice is also evidence -based for school discipline. In its 2014 report, the Council of State Governments recommends restorative practices for school discipline, stating that it is evidence -based along with other interventions including Positive Behavioral Interventions and Supports (PBIS). The CIS Model of Integrated Students Supports is supported by research from organizations including Child Trends and the Everyone Graduates Center at Johns Hopkins University. As a student -centered approach, ISS is firmly grounded in the research on child and youth development. Providing an array of academic and non-academic supports in a coordinated manner (as in the CIS Model) is more effective than a focus on one or a few supports. Child Trends concludes that evidence supports the effectiveness and cost-effectiveness of integrated student supports to improve educational outcomes. Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION V Terms of Agreement This Agreement is entered into by and between Department of Public Safety (hereinafter referred to as DPS), and New Hanover County, (hereinafter referred to as the County), the County's Juvenile Crime Prevention Council (hereinafter referred to as the JCPC) and Communities In Schools of Cape Fear (hereinafter referred to as the Sponsoring Agency). DPS, the County, the JCPC and the Sponsoring Agency do mutually agree as follows: Term of Agreement This Agreement shall become effective Jul 1, 2021 and shall terminate Jun 30, 2022. Payment to Sponsoring Agency All parties agree that services will be delivered as described in the approved Program Agreement and that funds will be disbursed in an amount not to exceed the amount $92345 for the term of this agreement, unless amended by an approved Program Agreement Revision. Availability of Funds: All parties to this Agreement agree and understand that the payment of the sums specified in this Program Agreement budget, or most recently approved Program Agreement Revision, is dependent and contingent upon and subject to the appropriation, allocation, and availability of funds for this purpose to DPS. Responsibilities of the Parties DPS shall: 1. Disburse funds monthly to County Governments, for payment to the Sponsoring Agency, from the fund appropriation by the General Assembly; 2. Reserve the right to suspend payment to the County for any non-compliance by the Sponsoring Agency with any reporting requirements set forth in DPS JCPC Policy and Procedures; 3. Notify in writing the County and Sponsoring Agency immediately if payments are suspended and again once payments resume; 4. Pay only for work as described in the Program Agreement, or most recently approved Program Agreement Revision, provided by the Sponsoring Agency and approved subcontractors; 5. Provide technical assistance, orientation and training to the Sponsoring Agency, the County and the JCPC; 6. Monitor Sponsoring Agency's funded program(s) in accordance with DPS JCPC Policy 3. Operations: Program Oversight and Monitoring; and 7. Notify parties entering into this Agreement of all due dates in a timely manner in order for reports to be submitted by the established due date. The Sponsoring Agency shall: 1. Comply with all laws, ordinances, codes, rules, regulations, and licensing requirements that are applicable to the Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE conduct of its business, including those of Federal, State, and local agencies having jurisdiction and/or authority; 2. Comply with all Federal and State laws relating to equal employment opportunity; 3. Keep as confidential and not divulge or make available to any individual or organization without the prior written approval of DPS any information, data, instruments, documents, studies or reports given to or prepared or assembled by the Sponsoring Agency under this Agreement; 4. Acknowledge that in receiving, storing, processing or otherwise dealing with any confidential information it will safeguard and not further disclose the information except as otherwise provided in this Agreement; 5. Comply with DPS JCPC Policy and Procedures and the North Carolina Administrative Procedures; 6. Secure local match as required, if applicable, pursuant to 14B NCAC 11 B.0105, for approved JCPC funds; 7. Create and adopt individualized guidelines specific to the funded program, while also adhering to DPS JCPC Policy and Procedures for all funded programs and for the specific program type for which they receive funding; 8. Ensure that state funds received are spent in accordance with the approved Program Agreement, or most recently approved Program Agreement Revision, and be accountable for the legal and appropriate expenditure of those state funds; 9. Maintain reports, records, and other information to properly document services rendered and outcomes; also maintain an ability to send and receive electronic communication; 10. Have the capacity to use DPS electronic, internet-based system for tracking clients served; 11. Use generally accepted accounting procedures that guarantee the integrity of the expenditure of funds, maintain reports, records, and other information to properly account for the expenditure of all State funds provided to the Sponsoring Agency; 12. When refunds are requested from the North Carolina Department of Revenue for sales and/or use taxes paid by the agency in the performance of the Program Agreement, or most recently approved Program Agreement Revision, as allowed by NCGS §105-164.14(c), the agency shall exclude all refundable sales and use taxes from reportable expenditures submitted to the County and DPS; 13. Submit Program Agreement Revisions, Third Quarter Accounting, Final Accounting and annual detailed expenditures through NCALLIES. These reports must be in accordance with the submission process as outlined in DPS JCPC Policy and Procedures and with the due dates established by DPS; 14. Make personnel, reports, records and other information available to DPS, the County, the JCPC, and/or the State Auditor for oversight, monitoring and evaluation purposes; 15. Submit any other information requested by the JCPC, County or DPS; 16. Be responsible for the performance of all subcontractors as described in the JCPC Program Agreement, or most recently approved Program Agreement Revision; 17. Indemnify and hold harmless DPS, the State of North Carolina, the County and any of their officers, agents and employees, from any claims of third parties arising out of any act or omission of the Sponsoring Agency in connection with the performance of the Program Agreement or most recently approved Program Agreement Revision; 18. Receive permission and budgetary approval from DPS prior to using the Program Agreement, or most recently approved Program Agreement Revision, as a part of any news release or commercial advertising and acknowledge DPS funding in partnership with the County; 19. Comply with DPS trainings and requirements regarding the United States Department of Justice national standards to prevent, detect, and respond to prison rape under the Prison Rape Elimination Act (PREA); Reference: 14B NCAC 118, and in compliance with DPS JCPC Policy 2: Operations: Program Operational Requirements 20. Be deemed an independent contractor in the performance of services described in the Program Agreement, or most recently approved Program Agreement Revision, and as such shall be wholly responsible for the services to be performed and for the supervision of its employees; 21. Represent that it has, or shall secure at its own expense, all personnel required in performing the services as described in the Program Agreement. Such personnel shall not be employees of, or have any individual Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE contractual relationship with, DPS; Sponsoring Agency and Use of Contractor(s)/Subcontractors The Sponsoring Agency may engage with independent contractors as needed to perform services or support services described in the Program Agreement. When independent contractors (funds are included in line item 190 of the budget) are providing services as described in the Program Agreement, the sponsoring agency must: 22. Upload a signed Contract for Professional Services into NCALLIES once the Program Agreement (or Program Agreement Revision) is approved by DPS; 23. Be responsible for the performance of all contractors or subcontractors as described in the Program Agreement, or most recently approved Program Agreement Revision; 24. Hold any contractor or subcontractor to which the Sponsoring Agency provides State funds accountable for the legal and appropriate expenditure of State funds, and to all applicable laws and DPS JCPC Policies and Procedures; and 25. Ensure that all contractors or subcontractors provide all information necessary to comply with the standards set forth in the Program Agreement or most recently approved Program Agreement Revision. The JCPC shall: 1. Ensure the Sponsoring Agency uses JCPC funds for only the purposes DPS has approved in the JCPC Program Agreement or most recently approved JCPC Program Agreement Revision; 2. Comply with DPS JCPC Policy and Procedures and the North Carolina Administrative Code; N.C.G.S. §1436-801 (a);143B-602;143B-851 3. Review and locally approve Program Agreement Revision(s) received from the Sponsoring Agency and submit to the County in a timely manner; 4. Review and locally approve Third Quarter Accounting forms and submit to the County in order to meet the due date established by DPS (applicable only to JCPC funded agencies); 5. Submit any other information requested by the County or DPS; and 6. Monitor the Sponsoring Agency's currently funded JCPC program(s) in accordance with DPS JCPC Policy 3. Operations: Program Oversight and Monitoring Reference: 14B NCAC 118.0202 and DPS JCPC Policy 1, 7, 8, 9, 10, and 11. The County shall: 1. Ensure the Sponsoring Agency is appropriately licensed, and either local public agencies, 501(c) (3) non-profit corporations or local housing authorities (applicable only to JCPC funded agencies); 2. Use funds only for the purposes DPS has approved in the Program Agreement or most recently approved Program Agreement Revision; 3. Disburse funds monthly and oversee funds to the Sponsoring Agency in accordance with 14B NCAC 11 B.0108 4. Comply with DPS JCPC Policies and Procedures and the North Carolina Administrative Procedures; 5. Review and locally approve Program Agreement Revisions received from the Sponsoring Agency for final approval from DPS; and 6. Review and locally approve Third Quarter and jointly submit Final Accounting forms for the JCPC and all funded programs according to the procedures and due dates established by DPS. Reference: 14B NCAC 11 B; DPS JCPC Policy 3, 7, 8, 9, 10, and 11 Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE Headings: The Section and Paragraph headings in these General Terms and Conditions are not material parts of the agreement and should not be used to construe the meaning thereof. Choice of Law: The validity of this Program Agreement and any of its terms or provisions, as well as the rights and duties of the parties to this Program Agreement, are governed by the laws of North Carolina. The parties, by signing this Program Agreement, agree and submit, solely for matters concerning this Program Agreement, to the exclusive jurisdiction of the courts of North Carolina and agree, solely for such purpose, that the exclusive venue for any legal proceedings shall be Wake County, North Carolina. The place of this Program Agreement and all transactions and agreements relating to it, and their situs and forum, shall be Wake County, North Carolina, where all matters, whether sounding in Program Agreement or tort, relating to the validity, construction, interpretation, and enforcement shall be determined. Assignment: No assignment of the Sponsoring Agency's obligations or the Sponsoring Agency's right to receive payment hereunder shall be permitted. However, upon written request approved by the issuing purchasing authority, DPS may: (a) Forward the Sponsoring Agency's payment check(s) directly to any person or entity designated by the Program Manager, or (b) Include any person or entity designated by Sponsoring Agency as a joint payee on the Sponsoring Agency's payment check(s). In no event shall such approval and action obligate DPS or County Government to anyone other than the Sponsoring Agency, and the Sponsoring Agency shall remain responsible for fulfillment of all Program Agreement obligations. Beneficiaries: Except as herein specifically provided otherwise, this Program Agreement shall inure to the benefit of and be binding upon the parties hereto and their respective successors. It is expressly understood and agreed that the enforcement of the terms and conditions of this Program Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to DPS, the County Government, and the Sponsoring Agency. Nothing contained in this document shall give or allow any claim or right of action whatsoever by any other third person. It is the express intention of DPS and County Government that any such person or entity, other than DPS or the County Government, or the Sponsoring Agency receiving services or benefits under this Program Agreement shall be deemed an incidental beneficiary only. Property Rights Intellectual Property: All deliverable items produced pursuant to this Program Agreement are the exclusive property of DPS. The Sponsoring Agency shall not assert a claim of copyright or other property interest in such deliverables. Physical Property: the Sponsoring Agency agrees that it shall be responsible for the proper custody and care of any property purchased for or furnished to it for use in connection with the performance of this Program Agreement and will reimburse DPS for loss of, or damage to, such property. At the termination of this Program Agreement, the Sponsoring Agency, County Government, and JCPC shall follow the guidelines for disposition of property set forth in Administrative Code and JCPC policy. Reference: 14B NCAC 11B.01 10; DPS JCPC Policy 9. Fiscal Accounting and Budgeting: Final Accounting Process Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE Disbursements and Internal Controls Reversion of Unexpended Funds Any remaining unexpended funds DPS disbursed to the County for the Sponsoring Agency must be refunded/reverted back to DPS at the close of fiscal year or upon termination of this Agreement. Accountability for Funds Audit Requirement - Local Government or Public Authority Requirements Local Government or Public Authorities in accordance with N.C.G.S. §159-34 must have an audit performed in conformity with generally accepted auditing standards. The audit shall evaluate the performance of a unit of local government or public authority with regard to compliance with all applicable Federal and State agency regulations. This audit, combined with the audit of financial accounts, shall be deemed to be the single audit described by the, "Federal Single Audit Act of 1984". Audit Requirement — Non -Governmental Entities: An audit, when required by law, or requested by the County or DPS shall be performed in conformity with generally accepted auditing standards and audits of non-governmental entities, both for-profit and not-for-profit, and must meet the requirements of OMB Circular A-133. At a minimum, the required report shall include the financial statements prepared in accordance with generally accepted accounting principles, all disclosures in the public interest required by law, and the auditor's opinion and comments relating to financial statements. The audit report must be submitted to the State Auditor's office as required by law, to the County and DPS, and to other recipients as appropriate within nine (9) months after the end of the program's fiscal year. Oversight Access to Persons and Records: The State Auditor shall have access to persons and records as a result of all Program Agreements entered into by State agencies or political subdivisions in accordance with N.C.G.S. §147-64.7. Additionally, as the State funding authority, DPS shall have access to persons and records as a result of all Program Agreements entered into by State agencies or political subdivisions. Record Retention: Records shall not be destroyed, purged or disposed of without the express written consent of DPS. State basic records retention policy requires all records to be retained for a minimum of five years or until all audit exceptions have been resolved, whichever is longer. If the Program Agreement is subject to Federal policy and regulations, record retention may be longer than five years since records must be retained for a period of three years following submission of the final Federal Financial Status Report, if applicable, or three years following the submission of a revised final Federal Financial Status Report. Also, if any litigation, claim, negotiation, audit, disallowance action, or other action involving this Program Agreement has been started before expiration of the five-year retention period described above, the records must be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular five-year period described above, whichever is later. No Overdue Tax Debt — Not for profit organizations ONLY must comply with this section. This form must be uploaded in NCALLIES when submitting a Program Agreement. The Sponsoring Agency shall be responsible for the payment of all State, local, and Federal taxes. Consistent with N.C.G.S. § 143C-6-23 (c), not for profit organizations shall file with DPS and the County a written statement completed by that Sponsoring Agency's board of directors or other governing body, stating whether or not the Sponsoring Agency has any overdue tax debts, as defined by N.C.G.S. 105-243.1, at the Federal, State, or local level. This written statement, Certification of No Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE Overdue Tax Debts, shall be completed by the Sponsoring Agency to certify when there are no overdue taxes. If the agency has overdue taxes, the Sponsoring Agency must notify DPS at the time of Program Agreement submission. Conflict of Interest — Not for profit organizations ONLY must comply with this section. This form must be uploaded in NCALLIES when submitting a Program Agreement. Consistent with the N.C.G.S. §143C-6-23 (b), not for profit organizations shall file with DPS and the County a copy of that Sponsoring Agency's policy addressing conflicts of interest that may arise involving the Sponsoring Agency's management employees and the members of its board of directors or other governing body. The policy shall address situations in which any of these individuals may directly or indirectly benefit, except as the Sponsoring Agency's employees or members of its board or other governing body, from the Sponsoring Agency's disbursing of State funds and shall include actions to be taken by the Sponsoring Agency or the individual, or both to avoid conflicts of interest and the appearance of impropriety. The policy shall be filed before the County or DPS may disburse any funds. The Sponsoring Agency shall also complete the DPS Conflict of Interest Policy Statement (Form DPS 13 001) and upload the statement and the Sponsoring Agency's policy addressing conflicts of interest to the JCPC Program Agreement upon submission. Proof of 501(c) (3) — Not for profit organizations ONLY must comply with this section. This document must be uploaded in NCALLIES when submitting a Program Agreement. Not for profit organizations must upload proof of the Sponsoring Agency's 501 (c) (3) status. Amendment: This Agreement may not be amended orally or by performance. Any amendment must be requested in writing by the Sponsoring Agency through submission of a Program Agreement Revision and executed by duly authorized representatives of DPS, the County Government, JCPC and Sponsoring Agency. Severability: In the event that a court of competent jurisdiction holds that a provision or requirement of this Program Agreement violates any applicable law, each such provision or requirement shall continue to be enforced to the extent it is not in violation of law or is not otherwise unenforceable and all other provisions and requirements of this Program Agreement shall remain in full force and effect. Termination for Cause: If, through any cause, the Sponsoring Agency shall fail to fulfill its obligations under this Program Agreement in a timely and proper manner, DPS shall have the right to terminate this Program Agreement by giving written notice to the Sponsoring Agency and specifying the effective date thereof. In that event, all finished or unfinished deliverable items prepared by the Sponsoring Agency under this Program Agreement shall, at the option of DPS, become its property and the Sponsoring Agency shall be entitled to receive just and equitable compensation for any satisfactory work completed on such materials, minus any payment or compensation previously made. Notwithstanding the foregoing provision, the Sponsoring Agency shall not be relieved of liability to DPS for damages sustained by DPS by virtue of the Sponsoring Agency's breach of this agreement, and DPS may withhold any payment due the Sponsoring Agency for the purpose of setoff until such time as the exact amount of damages due DPS from such breach can be determined. The filing of a petition for bankruptcy by the Sponsoring Agency shall be an act of default under this Program Agreement. Termination without Cause: DPS, the County Government, or the Sponsoring Agency may terminate this Agreement at any time and without cause by giving at least thirty (30) days advance written notice to the other. If this Program Agreement is terminated by DPS as provided herein, the Sponsoring Agency shall be reimbursed on a pro rata basis for services satisfactorily provided to DPS under this Program Agreement prior to Program Agreement termination. Waiver of Default: Waiver by DPS of any default or breach in compliance with the terms of this Program Agreement by the Sponsoring Agency shall not be deemed a waiver of any subsequent default or breach and shall not be Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE construed to be modification of the terms of this Program Agreement unless stated to be such in writing, signed by an authorized representative of DPS, County Government, the JCPC and the Sponsoring Agency. Force Majeure: Neither party shall be deemed to be in default of its obligations hereunder if and so long as it is prevented from performing such obligations by any act of war, hostile foreign action, nuclear explosion, riot, strikes, civil insurrection, earthquake, hurricane, tornado, or other catastrophic natural event, pandemic, or act of God. Survival of Promises: All promises, requirements, terms, conditions, provisions, representations, guarantees, and warranties contained herein shall survive the Program Agreement expiration or termination date unless specifically provided otherwise herein, or unless superseded by applicable Federal or State statutes of limitation. END OF SECTION V — Terms of Agreement Form structure last revised 12/20/2013 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION VI: BUDGET NARRATIVE Teen Court & Mediation (Restorative Justice) Fiscal Year FY 21-22 $7,200 Teen Court / Restorative Justice Program Coordinator Item # Justification Expense In Kind Expense 120 Program Director - Project Management and oversight; .15 FTE $7,200 120 Teen Court / Restorative Justice Program Coordinator; 1 FTE $40,000 TOTAL 120 Teen Court / Restorative Justice Assistant; 20 hours per week; $17 per hour $17,680 120 Administrative support - payroll / accounts payable & receivable - 2 hours per week; $21 per hour $2,184 120 Value of in-kind volunteers (teens @ 8/hour; professionals / adults @ $23.07/hour) $20,000 180 FICA @.0765%; Worker's Comp @.0168%; SUI @.0084% $6,820 180 Pro -rated Medical Benefits @ $288.75 per month $3,465 220 Food/Refreshments as needed for teen court nights, training, special teen court functions, and end of year activities $3,000 260 Consumable office supples (paper, ink, misc. supplies) $3,000 290 Student materials for Teen Court sessions estimated @ $30 per month x 12 months $360 310 Local mileage, travel & / training for all project staff and volunteers, and some school staff $6,036 320 Phone, internet $500 390 Deputy for court 20 nights x $40 = $800; Teen Court Assistants �(2) for 20 nights x 90 = 1800; $2,600 TOTAL $92,345 $20,500 Job Title Annual Expense Wages Annual In Kind Wages Program Director $7,200 Teen Court / Restorative Justice Program Coordinator $40,000 Teen Court / Restorative Justice Program Assistant $17,680 Administrative Support - payroll / accounts payable & receivable $2,184 Teen Court / Restorative Justice volunteers $20,000 TOTAL $67,064 $20,000 Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION VII Program: Teen Court & Mediation (Restorative Justice) Fiscal Year: FY 21-22 $0 Number of Months: 12 $0 430 Equipment Rental Cash In Kind Total I. Personnel Services $77,349 $20,000 $97,349 120 Salaries & Wages $67,064 $20,000 $87,064 180 Fringe Benefits $10,285 $10,285 190 Professional Services" $0 *Contracts MUST be attached II. Supplies & Materials $6,360 $6,360 210 Household & Cleaning $0 220 Food & Provisions $3,000 $3,000 230 Education & Medical $0 240 Construction & Repair $0 250 Vehicle Supplies & Materials $0 260 Office Supplies and Materials $3,000 $3,000 280 Heating & Utility Supplies $0 290 Other Supplies and Materials $360 $360 III. Current Obligations & Services $8,636 $500 $9,136 310 Travel & Transportation $6,036 $6,036 320 Communications $500 $500 330 Utilities $0 340 Printing & Binding $0 350 Repairs & Maintenance $0 370 Advertising $0 380 Data Processing $0 390 Other Services $2,600 $2,600 IV. Fixed Charges & Other Expenses $0 410 Rental or Real Property $0 430 Equipment Rental $0 440 Service and Maint. Contracts $0 450 Insurance & Bonding $0 490 Other Fixed Charges $0 V. Capital Outlay $0 [This Section Requires Cash Match] 510 Office Furniture & Equipment $0 530 Educational Equipment $0 540 Motor Vehicle $0 550 Other Equipment $0 580 Buildings, Structure & Improv. $0 Total $92,345 $20,500 $112,845 Form JCPC/PA 001 JCPC Program Agreement Form structure last revised 12/31/2012 Department of Public Safety DocuSign Envelope ID: OABBA8B6-6129-4473-8AB8-51 F01 E6751 DE SECTION VIII SOURCES OF PROGRAM REVENUE (ALL SOURCES) FY 21-22 New Hanover County Funding ID: 865-XXXX Sponsoring Agency: Communities In Schools of Cape Fear Program: Teen Court & Mediation (Restorative Justice) $92,345 DPS/JCPC Funds * This is the amount approved in your application 20% Local Match Rate Is the Local Match Rate 10%, 20% or 30%? County Cash (Specify Source) Local Cash (Specify Source) Local Cash (Specify Source) $20,500 Local In -Kind Volunteers; CIS Cape Fear (Specify Source) Other (Specify Source) Other (Specify Source) Other (Specify Source) Other (Specify Source) $112,845 TOTAL $18,469 $20,500 Required Local Match Match Provided cuSigned by:�E7A4BD9F419... Ei:', 6/21/2021 Authorizing Official, Department of Public Safety Date Thefollowing signature certifies that this program agreement has been locally approved by the Board of County Commissioners. (DocuSigned by: �' "L E 6/14/2021 741AAC4C4DDE460... Chair, County Board of Commissioners or County Finance Director Date The following signature certifies that this program agreement has been locally approved by the Juvenile Crime Prevention Council. DocuSigned by: (�(VrUU*"if 6/10/2021 3DDSE15 MA2540C... Chair, Juvenile Crime Prevention Council Date by: EDocuSigned 0-01sf f Ws 6/10/2021 3D778065587B45F... 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D162 COVEI'ICI OR IIAIEKE2.L bOPICA 2,LY.LEY4FlAL,L IAOJL EOK 16NOEI.L LIC DE16VK.LWEIAI OE bfIBrIC ?VEE.LI. ®e uvu DocuSign Certificate Of Completion Envelope Id: OABBA8B6612944738AB851 F01 E6751 DE Status: Completed Subject: DPS eSignature Request for New Hanover 865-23641 Teen Court & Mediation (Restorative Justice) Source Envelope: Document Pages: 35 Signatures: 4 Envelope Originator: Certificate Pages: 5 Initials: 0 DPS-DJJ Community Programs AutoNav: Enabled 3040 Hammond Business PI Envelopeld Stamping: Enabled Raleigh, NC 27603 Time Zone: (UTC -05:00) Eastern Time (US & Canada) djjdp.applicationsupport@ncdps.gov IP Address: 207.4.107.21 Record Tracking Status: Original Holder: DPS-DJJ Community Programs 6/10/2021 5:19:06 PM djjdp.applicationsupport@ncdps.gov Signer Events Signature LOUISE E HICKS DocuSigned by Louise@ciscapefear.org lb3D778065587B4,5F.uls-E -ESecurity Level: Email, Account Authentication . (None) Electronic Record and Signature Disclosure: Accepted: 6/4/2020 3:49:54 PM ID:62e44c5f-6edb-4650-bOc5-dc41ab71686a J H Corpening II julius.h.corpening@nccourts.org Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 6/10/2021 6:11:19 PM ID:3078a66c-9555-46d4-9c3b-c2a00bd5f4d0 Lisa Wurtzbacher Iwurtzbacher@nhcgov.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 6/14/2021 11:11:06 AM ID:50f16af6-5f06-4c15-8c76-e41499c4d8a8 Cindy Porterfield cindy.porterfield@ncdps.gov Director of Juvenile Community Programs NC Dept of Public Safety Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre -selected Style Using IP Address: 107.12.48.62 DocuSigned by: fk (rpuu," N 3DD8E15D4A2540C... Signature Adoption: Pre -selected Style Using IP Address: 204.152.2.232 CDocuSigned by: 74 1`� C4DDE46 Signature Adoption: Pre -selected Style Using IP Address: 70.63.86.17 by: [DI-Sig"Id 798FUMBDU419. . Signature Adoption: Pre -selected Style Using IP Address: 199.90.60.4 Location: DocuSign Timestamp Sent: 6/10/2021 5:19:09 PM Viewed: 6/10/2021 5:58:25 PM Signed: 6/10/2021 5:59:48 PM Sent: 6/10/2021 5:59:49 PM Viewed: 6/10/2021 6:11:19 PM Signed: 6/10/2021 6:11:30 PM Sent: 6/10/2021 6:11:31 PM Viewed: 6/10/2021 7:58:55 PM Signed: 6/14/2021 11:11:36 AM Sent: 6/14/2021 11:11:38 AM Viewed: 6/21/2021 10:17:49 AM Signed: 6/21/2021 10:17:59 AM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/10/2021 5:19:09 PM Certified Delivered Security Checked 6/21/2021 10:17:49 AM Signing Complete Security Checked 6/21/2021 10:17:59 AM Completed Security Checked 6/21/2021 10:17:59 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 4/3/2018 2:57:43 PM Parties agreed to: LOUISE E HICKS, J H Corpening II, Lisa Wurtzbacher CONSUMER DISCLOSURE From time to time, NC Dept of Public Safety (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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