Case Overview

Description: Welcome to the Case Overview page. This page displays the Add a New Case form. This form is used to Add a participant's Case Information to the YouthBuild system.

Functions: This page contains the following functions:

Add a New Case

Add a New Case:

Complete the following to Add a New Case:

Fill out all required fields on this form to add a new case.

Case Information

Select one of the Grantor radio buttons. (Required field)
Use the Other Funding Sources check boxes to select the funding sources. Check all that apply.

Note: If the Other check box is selected, users must insert the other funding source that supports the participant in the Other text box.

Using the Cohort drop-down list, select a Cohort. (Required field)
Using the Team drop-down list, select a Team.
In the First Name text box, enter the participants first name. (Required field)
In the Middle Initial text box, enter the participants middle initial.
In the Last Name text box, enter the participants last name. (Required field)
In the Address 1 text box, enter the participants street address. (Required field)
In the Address 2 test box, enter the participants remaining address information.
In the City text box, enter the participants city. (Required field)
Using the State drop-down list, select the participants state. (Required field)
In the Zip text box, enter the participants zip code.
In the Phone text box, enter the participants main phone number. (999-999-9999) (Required field)
In the Phone 2 text box, enter an additional phone number for the participant. (999-999-9999)
In the Other Phone text box, enter an additional phone number for the participant. (999-999-9999)
In the Two Way Pager Number text box, enter the participant's pager number. This field has a maximum character entry of 13.
In the Email text box, enter the participants email address.
In the Date of Birth text box, enter the participants date of birth. (mm/dd/yyyy) (Required field)
Select one of the Gender radio buttons. (Required field)
Select one of the Ethnicity Hispanic/Latino radio buttons. (Required field)

Note: Select the Not Specified radio button if the participant does not disclose his/her ethnicity.

Use the Race check boxes to select the participants race. Choose all that apply. (Required field)

Note: Check the Not Specified checkbox if the participant does not disclose his/her race.

Select one of the Individual with a disability radio buttons to identify if the participant has a disability. (Required field)
Select one of the High School Dropout radio button to identify if the participant is a high school dropout. (Required field)
Use the Participant Type check boxes to select the type of participant. Choose all that apply. (Required field)

Note: If the Other check box is selected, users must insert the other participant type in the Other text box.

In the Personal contact name text box, enter the participants personal contact name.
In the Personal contact phone, enter the participants personal phone number. (999-999-9999)
In the Additional Personal contact name text box, enter an additional personal contact name for the participant.
In the Additional Personal contact phone text box, enter an additional personal contact phone number for the participant. (999-999-9999)

Criminal Justice Information: This section is Required if the participant is a Youth or an Adult Offender.

Select one of the Received pre-release services radio buttons.
Select one of the Pre-release contact radio buttons.
In the Referral source text box, enter the participants referral source information.
Select one of the Mandated Enrollment radio buttons. (Required if the participant is a Youth or an Adult Offender)
Select one of the Alternative Sentence radio buttons. (Required if the participant is a Youth or an Adult Offender)
Select one of the Probation/Parole radio buttons.
In the Date of Most Recent Probation text box, enter date of most recent probation.

In the Date of Most Recent Contact with Probation/Parole Offices text box, enter the date of the most recent contact with the probation/parole officer. User can also use the (Calendar) icon to select the date.
Using the Type of Contact with Probation/Parole Officer drop-down list, select the type of contact the participant had with his/her probation/parole officer.

Note: If the Other is selected, use the Other text box to enter the type of contact the participant had with his/her probation/parole officer.

In the Specify Name of Probation/Parole Officer Contacted text box, enter the name of the probation/parole officer contacted.

Once all required fields have been completed, click the (Save) button. This will display the Successfully Saved Message.

Successfully Saved Message

Click the 'here' link to return to the Case Overview page. The newly created case will appear on the Cases Overview page.