Tutor auto-assigned: James Thompson
Your reader was matched automatically during pre-course. (Students without a match show "Pending assignment.")
Program-aware form: Fields and steps below render dynamically for your program type (DV-BIP 52wk) — one of 55 course variants. Coursework navigation stays locked until pre-course intake is complete (milestone gating: Registered → Pre-course → Active).
Client Contact Information
Please provide accurate contact details. This information is used for program communications.
Submitted May 3, 2026 • Read-only (intake complete)
Demographics
Demographic information used for program reporting and SPSS data.
Encrypted (AES-256)
Substance & Lethality Assessments
Risk assessments and substance use evaluations.
Completed May 3, 2026 · 12 questions · Read-only
1. In the past 12 months, have you used alcohol?
Yes — socially, 1–2 drinks per week
2. Have you used cannabis, prescribed or otherwise?
No
3. Have you used other illicit substances?
No
4. Has substance use ever interfered with work, family, or court obligations?
No
5. Has anyone close to you expressed concern about your use?
No
Completed May 3, 2026 · 8 questions · Read-only
1. Have you ever sought treatment for substance use?
No
2. Have you used substances within 24 hours of a court appearance?
No
3. Do you currently take prescribed medications that affect mood or judgment?
No
4. On a 1–10 scale, how would you rate your control over substance use?
9 — Strong control
Completed May 3, 2026 · ODARA-aligned · Read-only
Access to firearms
No
Threats of harm in past 6 months
No
Strangulation history
No
Recent separation
No
Children in household
Yes — 2
Active CPO
Yes — until Dec 2026
Completed May 3, 2026 · Lifetime history · Read-only
Prior domestic-violence-related arrests
1 — 2022
Prior CPO violations
0
Use-of-weapon history
No
Prior BIP enrollments
0
Completed May 3, 2026 · 6 questions · Read-only
Are you currently in any recovery program?
No
Have you previously attended AA, NA, or similar?
No
Would you like a referral to community resources?
No
Sponsor or accountability contact?
N/A
Pre-Course Knowledge & Acknowledgments
Required before coursework begins.
TEK Pre-Course Assessment
Topic & Engagement Knowledge baseline — Completed May 3, 2026
Mandated Reporter Notice — Acknowledged
I understand staff are mandated reporters and that disclosures of harm to self or others, child/elder abuse, may be reported as required by law. Acknowledged May 3, 2026.
Content Acceptance Steps
Each section is acknowledged separately (not a single checkbox).
Agreements & Consent
Program agreements, waivers, and consent forms requiring your electronic signature.
Agreement with Program
Signed May 3, 2026
Group Confidentiality Agreement
Signed May 3, 2026
Release of Information
Signed May 3, 2026
Waiver of Confidentiality
Signed May 3, 2026
Webinar Recording Consent
Signed May 3, 2026
Team Commitment Agreement
Signed May 3, 2026
Document Uploads
Upload required identification and court documents.
Photo ID
JPG, PNG, or PDF up to 5MB
Click to upload or drag and drop
Proof of Income
Pay stub, tax return, or benefits letter
Click to upload or drag and drop
Court Documents
Court order, referral letter, or sentencing docs
Click to upload or drag and drop
Webinar & Schedule Setup
Select your preferred webinar schedule and set up A/V requirements.