Section 3.32 Client Interview

• Library: Criminal Practice 2012 Forms

Client Interview

Client’s Name

Charges

Time and place of interview

Name _____________________________ SSN

All Aliases _________________________ FBI #

Address ___________________________ Prison #

Phone

Date of birth

Place of birth

Prior places of residence:

from (date) to (date)

Education:

Elementary:

High school:

College:

Trade school:

Other:

Armed Forces:

Branch of service:

Date of beginning of active duty:

Date of discharge:

Type of discharge:

Rank at time of discharge:

Any honors or medals:

Combat service:

Time overseas (places and dates):

Any court-martial charges:

Charge:

Finding:

Sentence:

Present Employment:

Name of employer:

Address:

Type of business:

Client’s immediate supervisor:

Client’s job designation:

Client’s type of work:

Pay (starting): (present):

Employed since (date):

If presently unemployed, check ( )

Since (date):

Receiving unemployment compensation? Amount:

Other means of support:

Prior Employment:

Name of employer:

Address:

Type of business:

Client’s immediate supervisor:

Client’s type of work:

Pay (starting): (at termination):

Employed from (dates):

Indicate season if seasonal:

Reason for leaving:

Marital Status:

( ) Single

( ) Divorced

( ) Married ceremonial ( ) common-law ( )

Wife/Husband:

Name:

Address:

Phone:

Employed?

Type of work:

Employer’s name:

Address:

Children:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Client’s Father:

Name: Type of work:

Living ( ) or Deceased ( )

If living

Address:

Phone:

Client’s Mother:

Name: Type of work:

Living ( ) or Deceased ( )

If living

Address:

Phone:

By whom was client raised? Indicate if parents were separated during childhood. If client was raised by persons other than a parent, get data on those persons as for parents...