BLUE RIDGE JUDICIAL CIRCUIT PRETRIAL DIVERSION PROGRAM

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Applications for acceptance into the Blue Ridge Judicial Circuit Pretrial Diversion Program must be made pursuant to the instructions below, and should be directed to the Pretrial Diversion Coordinator. An administrative fee of $405 will be assessed and must be paid in full by certified check, money order, or attorney's escrow check made payable to the Cherokee County General Fund at the time of the orientation. Any applicable payment for restitution or appointed attorney's fees must be paid in full by the same methods payable to the Clerk of Superior Court at orientation. Participants accepted and placed in Track I (Drug Track) will be required to submit to drug and alcohol screenings through the Cherokee County DUI Court Lab, located on the bottom floor of the Historic Courthouse at 100 North Street, Canton, Georgia 30114, and will be required to call the drug screen hotline each day after midnight to determine when to report for said screens. The cost for the screens will be $361 and shall be in the form of a money order made payable in full to the Cherokee County DUI Court Lab at orientation. Participants will be required to present a picture ID at the time of screening. Likewise, all participants in Track I must be assessed for substance abuse and follow any recommended treatment and said assessment and treatment shall be at the expense of the participant. Participants in Track II will be required to submit to a minimum of three and maximum of nine random drug screens during the course of the program through the Cherokee County DUI Court Lab. Participants will be required to call the drug screening hotline each day after midnight to determine when to report for the said screens. The cost for the first screen is $25 and must be paid at orientation. Each subsequent test is $15 and shall be in the form of a money order and payable directly to the Cherokee County DUI Court Lab at the time of testing. Participants will be required to present a picture ID at the time of screening. All payments due for program fees, attorney s fees, or restitution must be paid in full at the program orientation. No installment payments will he accepted under any circumstances unless approved in writing by the District Attorney. Participants who appear without such payment will not be allowed to attend orientation or begin participation in the program until all payments due are made in full. A charge of driving under the influence will not be dismissed due to completion of this program. Other charges in the same Indictment or Accusation will not be dismissed until the DUI charge has been resolved by agreement. If there is no agreement as to the resolution of the DUI (i.e. a negotiated plea, reduction, or dismissal) then all charges will be referred to the assigned court for further prosecution. In no event will the State agree to litigate the DUI charge while dismissing the remaining charges. The documents included in this packet may be amended or supplemented at any time in the discretion of the District Attorney s Office; therefore a new packet must be obtained for each participant. Copies should not be kept for future use.

APPLICATION INSTRUCTIONS 1) Complete and submit entire application packet to the Pretrial Diversion Coordinator. If the case has been indicted or accused, you must include the Indictment/Accusation number on each applicable document. If the case has not been indicted or accused, you must include the warrant number. Do not include any other identifying numbers, such as the police complaint number; 2) File the Petition for Pretrial Diversion form (template included) with the Clerk of Superior Court IF the case has been indicted or accused. If there is no indictment or accusation, the petition should remain with this packet and be turned into the Pretrial Diversion Coordinator with the remainder of the packet. 3) Do not file the remaining original documents with the court clerk but deliver those original documents to the Pretrial Diversion Coordinator. Do not include any payment at this time. 4) Defense counsel and the participant will be notified in writing of the defendant s acceptance into or the denial from the program. If accepted, counsel and/or the participant will be notified in writing of the date and time of the participant s scheduled program orientation as well as the amount of fees and restitution/appointed attorney's fees owed, if any. It is the responsibility of the participant and the defense attorney to ensure that the defendant appears at the scheduled time. 5) Participant must keep a copy of these materials for the participant s records. Copies will not be provided at orientation except by request.

PARTICIPANT APPLICATION PACKET Date of Referral: Requested by: PARTICIPANT INFORMATION Participant s Full Name: Race/Gender: DOB SSN: County of Residence: Current Residence Address: Is Participant currently incarcerated? Y/N Where: Currently on Probation: Y / N Currently employed: Y/N For what: Where Where: Has participant participated in any pretrial diversion program: Y/N If so, when: Where: Was program completed: Y/N When: No. of previous arrests: No. of misd. convictions: No. of felony convictions: Any pending charges: Y/N If so, what: where: Any previous history of substance abuse: Y/N Any previous treatment: Y/N Currently taking any medication: Y/N If so, list all substances: By Whom: List all: Last date used any type of controlled substance: What substance: CASE INFORMATION: Case No. Warrant No. ADA: Defense Attorney: Current Charge(s): Date of Arrest: Current Status of Case: Restitution owed: Y/N How much: To Whom: Appointed Attorney: Y/N Attorney s fees owed to county: Y/N How much Victim: Y/N Victim Name: Miscellaneous Notes

APPLICANT CERTIFICATION (Please check each below. Do not submit this application unless each of these can be checked truthfully) I understand that the Pretrial Diversion Policy and Procedure Manual can be found online at www.cherokeega.com/distirct_attorney under the heading "Pretrial Diversion Program." and that I should consult that document if I have any questions about this program; I am prepared to pay the $405 administrative fee on the date of my program orientation; I am prepared to pay the $361 drug screening fee (Track I) OR the $25 drug screening fee (Track II) on the date of my program orientation; I have discussed with my attorney whether restitution to the victim and/or appointed attorney's fees will be required in my particular case, and will be prepared to pay such fees on the date of my program orientation; I have a valid, current, state-issued identification card; I have a permanent address within the state of Georgia and will be able and willing to report to the Cherokee County DUI Court Lab for drug screening when instructed to do so; I have discussed with my doctor any prescription medications that I take and l understand that I cannot take any medication which may cause a positive drug screen. By signing below, I certify that each of the above statements is true and correct. I understand that should any of these statements be found to be incorrect my application to enter this program will be denied. Participant Defense Attorney Date Date

IN THE SUPERIOR COURT OF CHEROKEE COUNTY STATE OF GEORGIA THE STATE OF GEORGIA * CASE NO. v. *, * Defendant PETITION FOR PRETRIAL DIVERSION Comes now,, defendant in the above-styled case, and shows the Court the following: Defendant is charged with the offense(s) of. 1. 2. Defendant further shows he/she is years of age and has never plead guilty to nor been adjudicated guilty of a felony. 3. Defendant has been advised of the Blue Ridge Judicial Circuit District Attorney's Pretrial Diversion Program and is able and willing to meet all criteria necessary to enter said program. The defendant has further been advised that upon satisfactorily completing the program an order of Nolle Prosequi will be entered or the charges otherwise dismissed, except a charge of Driving Under the Influence. 4. The defendant understands that if he/she is not accepted into the program, or should he/she fail to complete the requirements of this program as may be hereafter prescribed, this case will be returned to the normal criminal justice system for prosecution. 5. The defendant has been advised of his/her constitutional rights by the undersigned attorney, and understands that he/she is required to waive certain of these rights in order to enter the program. 6. It is agreed that the defendant, if accepted into this program, will pay any appointed attorney's fees assessed on the defendant's behalf by the Office of Indigent Defense.* So moved this day of, 2017. Attorney for Defendant Georgia Bar No. Attorney's name and address (please print): Telephone No.( ) Email Restitution for appointed attorney s fees shall be in the amount of $