SOP 107.05-att-2: Participant Expectation Form
Summary
Key Topics
- program participation
- group counseling
- risk reduction programs
- participant expectations
- program rules
- confidentiality agreement
- attendance requirements
- homework assignments
- group discussions
- certificate of completion
- program contract
Full Text
SOP 107.05
Attachment 2
5/12/22
|Col1|Georgia Department of Corrections
Group: ________________________________________
Site: __________________________________________|Col3|
|---|---|---|
|Participant:
|Participant:
|Date:
|
|Program Delivery Staff:
|Program Delivery Staff:
|Class Location:
|
|Day:
|Day:
|Time:
|
|PARTICIPANT EXPECTATIONS |PARTICIPANT EXPECTATIONS |PARTICIPANT EXPECTATIONS |
I _________________________ understand that there are a number of rules and expectations
that I must respect as a participant in the above-named group. I understand that by signing this
contract I indicate my knowledge of these rules.
1) I agree to promptly attend all scheduled sessions. I understand that the only exception to
the above rule will occur if I must miss a session for a medical or other important reason.
I also understand that the Program Delivery Staff has the discretion to decide if the
reason for my missing a session was legitimate. I understand that if I miss too many
sessions for any reason, that I may be dropped from the program, and I will not receive a
certificate of program completion.
2) I agree to complete all homework and written assignments as requested by the Program
Delivery Staff. I understand that homework assignments will be passed in, to the
Program Delivery Staff for review and comments.
3) I agree to actively contribute to group discussions.
4) I agree to treat all group members and the Program Delivery Staff with the same respect
and courtesy with which I like to be treated.
5) I understand that the personal material discussed in the group is confidential and I agree
to respect this confidentiality by not discussing any of this material outside of the group.
6) I understand that I will receive a certificate upon completion of the program if I comply
satisfactorily with all the requirements as listed above.
7) I understand that a final report may be prepared describing my participation and progress
in this program. This report, if applicable, will be placed in my file.
Signed: __________________________ Date: _____________________
Participant
Signed: ___________________________ Date: _____________________
Program Delivery Staff
Retention Schedule: Upon completion, this form shall be placed in the offender’s institutional file and maintained in
accordance with the official retention schedule for that file.