Live Online Survivor Speakout Victim Impact Panel

Survivor Speakout Online is a 2-hour live presentation, not a recorded class. You will not be tested.

This form is for OFFENDERS to request to attend Survivor Speakout Victim Impact Panel ONLINE. Once the form has been submitted you will be directed to a page to pay your $55.00 fee.

Read the guidelines to attend ONLINE

Tuesday, June 13th – 10am-12pm – ONLINE
Saturday, June 17th – 10am-12pm – ONLINE
Thursday, June 29th – 6pm-8pm – ONLINE
Thursday, July 6th – 6pm-8pm – ONLINE
Tuesday, July 26th – 10am-12pm – ONLINE
Wednesday, August 23rd – 6pm-8pm – ONLINE
Tuesday, September 12th – 10am-12pm – ONLINE
Wednesday, September 21st – 6pm-8pm – ONLINE
Thursday, September 27th – 10am-12pm – ONLINE
Thursday, October 5th – 6pm-8pm – ONLINE
Wednesday, October 18th – 6pm-8pm – ONLINE
Wednesday, November 1st – 6pm-8pm – ONLINE
Thursday, November 9th – 10am-12pm – ONLINE
Tuesday, November 14th – 6pm-8pm – ONLINE
Thursday, December 14th – 10am-12pm – ONLINE

Your Personal Information

Request the date you would like to attend Survivor Speakout ONLINE LIVE

On what charges were you arrested?

If you chose 'Other' above, please tell us what you were charged with

Your probation officer and date your probation ends

If your probation officer's name is not listed, enter their name here
If you are not sure of the exact date, choose the last day of the month your probation ends

Who is the judge presiding over your case?

If you know the name of your judge, but they are not on the list, enter it here

County information

Click or drag files to this area to upload. You can upload up to 2 files.
We must have a recent, clear headshot photo of you to attend ONLINE or you must register to attend IN PERSON.