DWI/DUI/MIP Class Enrollment (Northeast Arkansas) – Follow these 3 steps Dimensions, Inc. –Drug and Alcohol Safety Education Program (DASEP) – Phone 870-931-1111 Office hours 9AM – 4:30 PM (closed at lunch & legal holidays); Fax 870-972-1616; Email: info@mydwi.net or info@mymip.org ------------------------------------------------------------------------------------------------------------------Information/Records maintained by Dimensions, Inc. indicate that the State and/or the Court require(s) you to complete the following: __ Level 1 DASEP class; __ Level 2 DASEP; __ Under-Age/MIP DASEP; Treatment (call us) 931-1111 __ Schedule updates: www.mydwi.net Pre-registration is required. To pre-register select desired class & complete/submit this form with a $150 money order 2-3 weeks in advance. Classes must be completed in the sequence posted in schedule; MISS ONE CLASS BEGIN SEQUENCE AGAIN Classes CANNOT be scheduled by phone - WALK-INS are NOT permitted at any class Refunds are prohibited by state law—Class must be completed within 6 months of payment Level 1 DASEP completion = completing a Level 1 class – 12 hours (2-3 sessions) Level 2 DASEP completion = completing a current Level 1 class plus the Level 2 supplement (usually 4 sessions) Underage (-21) MIP/DUI/DWI=completion of the Underage class 12 hours (2 - 3 sessions) DWI/DUI/MIP offenses also require a MADD “Victim Impact Panel” – www.armadd.org or 1-855-227-6233 or 1-501-246-8810 for details We are NOT ALLOWED to discuss your case with ANYONE other than YOURSELF without a SIGNED CONFIDENTIALLY RELEASE If you received your offense in Arkansas, but not in northeast Arkansas, a referral from the local DASEP is required. If you received your offense out-of-state, completion of the-out-of-state waiver is required If you received your offense in Missouri and live in Arkansas, your evaluation must be done before acceptance in a program. STEP 1. PLACE A CHECK MARK next to the class that you wish to attend! Level 2 Class – Supplement (Jonesboro) Levelmeet 1 Class (check the desired class) (Classes for 2OR 3 sessions = 12 hours) 1=1st choice; 2=2nd choice J0NESBORO-You must complete this supplement in conjunction with a current Level 1 class – Also, check your desired Level 1 class __JUNE __JONESBORO AM JUNE 6 & 13, 2014 8 AM - 11 AM LP 9AM – 3:30 PM JH __JONESBORO PM JUNE 11, 12 & 13, 2014 __POCAHONTAS 12 & 13, 2014 JUNE 16, 2014 6-10 P.M. 9AM –3:30 PM Horarios para la Clase en Espanol AM LP __Underage (MIP/DUI/DWI)—under age 21 (2 sessions – 12 hours)—JONESBORO. __JUNE 7 & 14, 2014 9 AM - 3:30 PM LP STEP 2. Send a $150 money order or cashier’s check+ this form to: Dimensions, Inc. Personal checks/cash NOT ACCEPTED and will be returned. RECEIPT/CONFIRMATION will be mailed to you. 2012 Wilkins Avenue Jonesboro, AR 72401 STEP 3 – Complete this form Name_______________________________ Address_____________________________ City,State, Zip________________________ DL/SS#_____________________________ Date of arrest______Date of conviction____ Telephone_____________DOB___________ DIMENSIONS WILL NO LONGER TEACH CLASSES FOR DUI/DWI/ MIP/SPANISH AS OF JULY 1,2014 CONTACT MID-SOUTH HEALTH SYSTEMS AT 870-972-4050 FOR ALL YOUR COURT ORDERED REHABILITATION SERVICES.