• Abuser Intervention Program Contract

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Choose from the following:
  • A requirement for participation in the program includes talking about any intimate partner abuse and violence I have done or am currently doing, and accepting full accountability for all of my actions. I understand SARC can choose to refer me back to court and/or terminate my participation in the program, should AIP staff determine I am not appropriate for the program or the group environment, or should I refuse to participate appropriately and with honest integrity.

  • I acknowledge that SARC will contact the victim to obtain a history of abuse. S/he will be provided with the name of the Clinical Director. S/he will also be informed of my suspension, termination, and/or completion of my involvement with SARC.

  • I acknowledge that during group discussion, I may not blame anyone else for my own behavior. 

  • I agree not to be violent with any person during my participation in the SARC Abuser Intervention Program.

  • I agree to be weapon free while attending SARC meetings.

  • I agree not to use language or make comments that are inappropriate in nature during group and during any interaction with SARC staff and volunteers. This includes comments that are violent or sexual in nature and sexist/racial slurs.

  • I agree not to be disruptive or uncooperative. This includes use of cell phones during group. I acknowledge that disruption to the group may result in dismissal from the group, which will count as an absence.

  • I acknowledge that in order to successfully complete the program I must attend a total of 32 group sessions in their entirety, and understand that I will be assigned a group session to attend once per week for 90 minutes per session.

  • I acknowledge that I am required to be on time for group. Should I be more than 10 minutes late, I will not receive credit for the session, and must use an audit or an absence. 

  • I agree to bring my manual to every group. I acknowledge that should I not bring this book, I will not receive credit for the session, and must use an audit or an absence.

  • I acknowledge that should my balance exceed $50.00, I will not receive credit for the group session, and will have to use an audit or an absence until I pay my balance to $50.00 or below.

  • I acknowledge that I am allowed two (2) audited sessions total throughout my time in AIP. An audited group is not considered an absence or as one of my completed groups, but indicates I was present for group. I understand I may audit a group for the following reasons: balance exceeding $50, not bringing the manual to group, being more than 10 minutes late for group. I acknowledge that I may also choose not to audit that particular group and count that session as an absence. Should I be unable to resolve my reason for auditing sessions by the 2nd cumulative audited session, it will be counted as an absence, as will any further infractions.

  • I acknowledge that I am allowed six (6) unexcused absences from the program. After the 6th absence I shall be terminated if I am absent again for any reason.

  • I understand that the only way to get an absence excused is documentation of my hospitalization on the date of the missed group. This documentation must be provided at the next group I attend. If documentation is not provided at the next group I attend, the missed group will count as an absence. 

    If makeup groups are still being offered, I understand that I can also get an absence excused if I attend my makeup group the same week as the absence.

  • I acknowledge that any violations of Conditions of Probation or any Court Orders are grounds for termination and referral back to the Court.

  • I acknowledge that I must notify SARC of any further police contact, service of a new protective order, or any new pending charges. This will result in the suspension of my participation until case conclusion or three (3) months. After that time, I will be terminated from the program if complaint is founded or continues to be unresolved. I acknowledge that should any of the above occur, I am responsible for notifying, or having Parole and Probation notify, AIP staff of these items or my incarceration. I understand that my status will not be suspended until this notification occurs.

  • I acknowledge that my group facilitators or other SARC staff will report information regarding my participation in the program or reported acts of violence to the Court.

  • I acknowledge that if I am under the influence of alcohol/drugs, I will be removed from group and that session will be counted as an absence.

  • If recommended, I agree to obtain a chemical dependency evaluation and follow any recommendations.

  • I agree to pay the group fee of $30 per group session. SARC can only accept payments made with a credit/debit card via PayPal. I agree to use a payment method with my name on it, and will make sure I do not owe over $50. I understand that I should make group fee payments at least 24 hours before group sessions. If I do not, I may be counted as an audit or absence for that group if my balance is over $50 past due. I agree I will not take up group time arguing with staff about my group number or balance. I understand that it is also my responsibility to keep track of my own payments, balance, and group number.

  • I understand all fees are non-refundable. I agree not to cancel PayPal payments or request chargebacks at any time.

  • I acknowledge that I am financially obligated to pay for every group session whether or not I attend.

  • I acknowledge that I must pay my full balance within two weeks of the date of my final group session or I will be terminated from the AIP program with an incompletion. I will not receive my completion letter until my balance is paid in full, within 2 weeks of my last group.

  • If I move, I agree to notify SARC of any change of address and telephone number immediately.

  • I acknowledge that group facilitators, SARC staff and SARC volunteers are legally required to report suspected child abuse/neglect, elder/vulnerable adult abuse/neglect, and homicidal or suicidal threats to the proper authorities.

  • I acknowledge that I may only change the day or time of my weekly group session one time. If I want to change the day or time on additional occasions, I must provide documentation of changed work schedule and the change must be approved by the Clinical Director.

  • I acknowledge that no exceptions to this contract shall be made by the group facilitators or any other SARC employee.

  • I have read this contract, or it has been read to me, and I agree to abide by the requirements of SARC’s Abuser Intervention Program.

  • Should be Empty: