Diversion & Intervention Program Application

Select The Program You Are Applying For: Select The County: Were You Referred By The Magistrate / Municipal Court For This Program?

Applicant Information

First Name: Middle Name: Last Name:

Suffix:

Other Names:

Mailing Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Social Security Number:

Date of Birth:

Age:

Gender:

Race:

Driver's License Number:

Driver's License State:

Highest Education Level: Current Employer (If Applicable): Any Prior Charges? Previously enrolled in a Diversion or Intervention program?

Parent / Guardian Or Additional Contact With Whom Your Case May Be Discussed:

Name (Required If Applicant Is A Juvenile): Relationship (Required If Applicant Is A Juvenile):

Initial each box to confirm you are aware of the fees associated with the diversion or intervention program in which you are applying for:

Pre-Trial Intervention Program (PTI) OR Domestic Violence Intervention Program (DVIP):

$100 Application Fee

$250 Participation Fee

$285 Expungement Fee (Optional)

Alcohol Education Program (AEP) OR Juvenile Pre-Trial Intervention Program (JPTI):

$100 Application Fee

$150 Participation Fee

$285 Expungement Fee (Optional)

Traffic Education Program (TEP):

$140 Application Fee

$140 Participation Fee

Drug Court Program (DCP) OR New Plan Intervention Program (NPI):

$100 Application Fee

Diversion & Invervention Program Participation Agreement

By signing this contract, I agree to the following requirements:

All fees must be paid before acceptance in the diversion or intervention program. These and all other fees are non-refundable.
All requirements must be completed to successfully complete the program. This includes any fees, classes, drug screens, community service, restitution, or other requirements as deemed necessary.
You must provide any change in contact information. This office always needs your current information to efficiently communicate with you while in the program.
You agree your contact information and participation in the program can be shared with approved class providers.

Diversion and intervention programs are a second chance and a privilege. Failure to comply with the requirements listed above could result in termination from the program. Termination from the program will result in your case being returned to the court by which you were referred for prosecution. Successful completion of the program will result in your charge being dismissed. There are additional fees associated with the expungement process to remove these charges from your record.

To participate in the diversion or intervention program, I also agree to the following waivers and agreements:

I waive my right to a speedy trial.
I agree to the tolling of all periods of limitation established by statutes or rules of court; including those periods of limitation applicable to any and all motions that may be pending before court.
I understand and agree that any records pertaining to participation in, or information obtained throughout are not admissible as evidence in subsequent proceedings, criminal or civil. Communication between the Fourth Circuit Solicitor's Office and defendants shall remain as privileged communication unless a court of competent jurisdiction determines that this is compelling public interest that such communication be revealed.

Confirm the following statements by selecting each box:

I understand that additional class fees may be charged by the provider and are not at the discretion of the Fourth Circuit Solicitor.

I agree to the listed requirements and waivers and agreements, I also understand the consequences if I fail to complete this program.

I understand that it is my responsibility to notify the Fourth Circuit Solicitor's office if I have a change in address or phone number.

After completing and submitting your application, a confirmation email will be sent to the email address you provided above. Confirm the email address is correct before submitting and be sure to check your email spam/junk folder.

Do not submit multiple applications. If multiple applications are submitted, previous applications will be discarded, and the process will start over. We ask that you wait a minimum of 7 business days before calling to confirm receipt of the application, and only when a confirmation email is not received.

Application fees must be paid within 14 business days. ONLY ELECTRONIC PAYMENTS ARE ACCEPTED. You may pay by debit card, credit card, or pre-paid card online through our website at www.solicitor4.com, in-person at any Fourth Circuit Solicitor's Office location, or by phone at (843) 306-8085.

Signature (Typed):

Office of the Solicitor - Fourth Judicial Circuit

William B. Rogers, Jr.
Solicitor

Diversion & Intervention Program Application

Applicant Information

Parent / Guardian Or Additional Contact With Whom Your Case May Be Discussed:

Initial each box to confirm you are aware of the fees associated with the diversion or intervention program in which you are applying for:

Diversion & Invervention Program Participation Agreement

Confirm the following statements by selecting each box:

Office of the Solicitor - Fourth Judicial Circuit

William B. Rogers, Jr. Solicitor

Diversion & Intervention Program Application

Applicant Information

Parent / Guardian Or Additional Contact With Whom Your Case May Be Discussed:

Initial each box to confirm you are aware of the fees associated with the diversion or intervention program in which you are applying for:

Diversion & Invervention Program Participation Agreement

Confirm the following statements by selecting each box:

William B. Rogers, Jr.
Solicitor