District Court Probation Officer Referral Form CALL ETRS (800) 213-3877 to schedule your class or register online at www.etrsmichigan.com.Today's Date(Required) MM slash DD slash YYYY Probation Officer Name(Required)Probation Officer Email(Required) Probation Officer Phone(Required)Court(Required)Case Number(Required)Offense(Required)Participant Name(Required) First Last Date of Birth(Required)Participant Email(Required) Participant Phone(Required)ETRS Educational Programs Alcohol Education Program - 2 Day: $225/13hrs Alcohol Education Program - 1 Day: $135/6.5hrs Anger Management Program - 2 Day: $225/13hrs Anger Management Program - 1 Day: $135/6.5hrs ETRS Programs CBT/Positive Options Program: $240/8 sessions Economic Crime/Positive Options Program (Retail Fraud/Theft): $135/7.5hrs/4 sessions Men’s Domestic Violence Orientation ($100) + Weekly Sessions ($30/class) AOD (Alcohol and Other Drugs) Outpatient Relapse Prevention Program (14 weeks): $490 AOD (Alcohol and Other Drugs) Outpatient Relapse Prevention Program (14 weeks) + Substance Abuse Evaluation: $490 Drug Screens 4 Panel: $20 12 Panel: $45 ETRS Evaluations Substance Abuse Evaluation: $200 Driver’s License Appeal Evaluation: $375 Mental Health Evaluation: $225 Will you allow your participant to take a virtual class?(Required) Yes No - it must be in person By what date does the Participant need to finish the program(s) checked above? MM slash DD slash YYYY This field is hidden when viewing the formStatus Jetpack CRM - do not remove Δ
