Juvenile Detention Screening Survey

Name of Facility

Parish

Address

Address Line 1

City

State

Zip Code

Select Reporting Year

Please Select Reporting Quarter

Contact Name

First

Last

Contact Email – (This email will receive a confirmation notice)

Contact Phone

White Male

White Female

WM – Felony – Person

WM – Felony – Property

WM – Felony – Drug

WM – Felony – Weapon

WM – Felony – Other

Total White Male Felonies

WM – Misdemeanor – Person

WM – Misdemeanor – Property

WM – Misdemeanor – Drug

WM – Misdemeanor – Weapon

WM – Misdemeanor – Other

Total White Male Misdemeanor

WF – Felony – Person

WF – Felony – Property

WF – Felony – Drug

WF – Felony – Weapon

WF – Felony – Other

Total White Female Felonies

WF – Misdemeanor – Person

WF – Misdemeanor – Property

WF – Misdemeanor – Drug

WF – Misdemeanor – Weapon

WF – Misdemeanor – Other

Total White Female Misd.

– Felony Total

Black Male

Black Female

BM – Felony – Person

BM – Felony – Property

BM – Felony – Drug

BM – Felony – Weapon

BM – Felony – Other

Total Black Male Felonies

BM – Misdemeanor – Person

BM – Misdemeanor – Property

BM – Misdemeanor – Drug

BM – Misdemeanor – Weapon

BM – Misdemeanor – Other

Total Black Male Misdemeanor

BF – Felony – Person

BF – Felony – Property

BF – Felony – Drug

BF – Felony – Weapon

BF – Felony – Other

Total Black Female Felonies

BF – Misdemeanor – Person

BF – Misdemeanor – Property

BF – Misdemeanor – Drug

BF – Misdemeanor – Weapon

BF – Misdemeanor – Other

Total Black Female Misd.

Hispanic Male

Hispanic Female

HM – Felony – Person

HM – Felony – Property

HM – Felony – Drug

HM – Felony – Weapon

HM – Felony – Other

Total Hispanic Male Felonies

HM – Misdemeanor – Person

HM – Misdemeanor – Property

HM – Misdemeanor – Drug

HM – Misdemeanor – Weapon

HM – Misdemeanor – Other

Total Hispanic Male Misd.

HF – Felony – Person

HF – Felony – Property

HF – Felony – Drug

HF – Felony – Weapon

HF – Felony – Other

Total Hispanic Female Felonies

HF – Misdemeanor – Person

HF – Misdemeanor – Property

HF – Misdemeanor – Drug

HF – Misdemeanor – Weapon

HF – Misdemeanor – Other

Total Hispanic Female Misd.

Asian Male

Asian Female

AM – Felony – Person

AM – Felony – Property

AM – Felony – Drug

AM – Felony – Weapon

AM – Felony – Other

Total Asian Male Felonies

AM – Misdemeanor – Person

AM – Misdemeanor – Property

AM – Misdemeanor – Drug

AM – Misdemeanor – Weapon

AM – Misdemeanor – Other

Total Asian Male Misd.

AF – Felony – Person

AF – Felony – Property

AF – Felony – Drug

AF – Felony – Weapon

AF – Felony – Other

Total Asian Female Felonies

AF – Misdemeanor – Person

AF – Misdemeanor – Property

AF – Misdemeanor – Drug

AF – Misdemeanor – Weapon

AF – Misdemeanor – Other

Total Asian Female Misd.

Native American Male

Native American Female

NM – Felony – Person

NM – Felony – Property

NM – Felony – Drug

NM – Felony – Weapon

NM – Felony – Other

Total Native Male Felonies

NM – Misdemeanor – Person

NM – Misdemeanor – Property

NM – Misdemeanor – Drug

NM – Misdemeanor – Weapon

NM – Misdemeanor – Other

Total Native Male Misd.

NF – Felony – Person

NF – Felony – Property

NF – Felony – Drug

NF – Felony – Weapon

NF – Felony – Other

Total Native Female Felonies

NF – Misdemeanor – Person

NF – Misdemeanor – Property

NF – Misdemeanor – Drug

NF – Misdemeanor – Weapon

NF – Misdemeanor – Other

Total Native Female Misd.

Other/Biracial Male

Other/Biracial Female

OM – Felony – Person

OM – Felony – Property

OM – Felony – Drug

OM – Felony – Weapon

OM – Felony – Other

Total Other Male Felonies

OM – Misdemeanor – Person

OM – Misdemeanor – Property

OM – Misdemeanor – Drug

OM – Misdemeanor – Weapon

OM – Misdemeanor – Other

Total Other Male Misd.

OF – Felony – Person

OF – Felony – Property

OF – Felony – Drug

OF – Felony – Weapon

OF – Felony – Other

Total Other Female Felonies

OF – Misdemeanor – Person

OF – Misdemeanor – Property

OF – Misdemeanor – Drug

OF – Misdemeanor – Weapon

OF – Misdemeanor – Other

Total Other Female Misd.

Report Summary Totals

Total White Males

Total White Females

Total Black Males

Total Black Females

Total Hispanic Males

Total Hispanic Females

Total Asian Males

Total Asian Females

Total Native American Males

Total Native American Females

Total Other/Biracial Males

Total Other/Biracial Females

Total Number of Males

Total Number of Females

Juvenile Detention Screening Instrument Data Collection