NICC Weekly Schedule

NICC WEEKLY SCHEDULE
Name*
Email*

Confirmation Emailexample@example.com
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
HD/WR*

HDWR
***** Please note that every single time you plan on leaving your residence/work release facility it must be on your schedule. This includes but is not limited to Community Corrections meetings, Court Hearings, and Disciplinary Hearing Board Meetings. Otherwise you shall remain IN your residence/work release facility, not

your porch or yard. Your residence/the work release facility is your jail cell. Full name, address, and mode of transportation must be included for each stop or it will be denied. *****
Monday
Month/Day*

MonthDayYear
Date

Month/Day:

	Appointment/Work	Location (city/address)	Start Time (am/pm)	End Time (am/pm)	Drive time requested (one way)

Tuesday
Month/Day

MonthDayYear
Date

Month/Day:

	Appointment/Work	Location (city/address)	Start Time (am/pm)	End Time (am/pm)	Drive time requested (one way)

Wednesday
Month/Day

MonthDayYear
Date

Month/Day:

	Appointment/Work	Location (city/address)	Start Time (am/pm)	End Time (am/pm)	Drive time requested (one way)

Thursday
Month/Day

MonthDayYear
Date

Month/Day:

	Appointment/Work	Location (city/address)	Start Time (am/pm)	End Time (am/pm)	Drive time requested (one way)

Friday
Month/Day

MonthDayYear
Date

Month/Day:

	Appointment/Work	Location (city/address)	Start Time (am/pm)	End Time (am/pm)	Drive time requested (one way)

Saturday
Month/Day

MonthDayYear
Date

Month/Day:

	Appointment/Work	Location (city/address)	Start Time (am/pm)	End Time (am/pm)	Drive time requested (one way)

Sunday
Month/Day

MonthDayYear
Date

Month/Day:

	Appointment/Work	Location (city/address)	Start Time (am/pm)	End Time (am/pm)	Drive time requested (one way)

Did you include time for:

paying NICC fees

going to the bank

case management meeting

MRT or other group meetings

community service

LOOK OVER YOUR SCHEDULE BEFORE SUBMITTING IT.
Participant signature of schedule approval*

Clear
Should be Empty: