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(Rev: 5/15)
*DO NOT FILE WITH CLERK OF COURTS
APPLICATION FOR DRUG COURT
POST CONVICTION * PROGRAM
Date:____________________
Defendant’s Name: ____________________________Case No. ________________
Original Court (Inits.) _____________________ Assigned Judge: _______________
Arresting Agency:
____________________________________________________
Charges: ______________________________________________________________
______________________________________________________________________
Application is hereby made on behalf of the above-named defendant admission to the
Ashtabula County Common Pleas Drug Court Post Conviction Program. Permission is given for the
Adult Probation Department to begin a pre-sentence investigation to help determine the defendant’s
final eligibility for the Drug Court Program.
The defendant, by requesting participation in the Drug Court Post Conviction Program,
hereby knowingly, intentionally and voluntarily waives all rights to a speedy trial whether
established by statute, rule of court or under the Constitution Of The United States Of America or
the Constitution Of The State Of Ohio.
The defendant agrees to begin attending Drug Court sessions, as directed, in Judge Yost’s
courtroom on each Thursday at 9:00 immediately upon being notified of the initial approval of this
application by the Prosecuting Attorney and to be subject to random drug testing.
__________________________________
Phone : Home: _________________
Defendant
Cell: __________________
___________________________________
Phone: ________________________
Defendant’s Attorney
Attorney’s Email Address: ____________________________________________
File this Application with the Ashtabula County Prosecutor’s Office, 25 West Jefferson Street,
Jefferson, OH 44047
INITIAL APPROVAL FOR POST CONVICTION DRUG COURT: (GRANTED)
(NOT GRANTED)
___________________________
Assigned APA: __________________
Prosecuting Attorney
* THE DRUG COURT POST CONVICTION PROGRAM IS AVAILABLE AS AN
ALTERNATIVE COMMUNITY CONTROL SANCTION WHICH CAN BE IMPOSED AT
THE DISCRETION OF THE COURT AT TIME OF SENTENCING UPON APPLICATION
OF THE DEFENDANT AND AFTER ASSESSMENT AND ACCEPTANCE BY THE
DRUG COURT TEAM.
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