Agreement of WCS Neighbor Conduct
Due to ongoing negative and aggressive behavior toward WCS staff and volunteers, we are now enforcing the following. Please read carefully before signing.
This notice is to inform you that you MAY be terminated by the Waxahachie Care Services (WCS) Program immediately for the following offenses if committed by you, the applicant, any household member, or person(s) with you at the time of offense:
1. Belligerent or threatening behavior toward a staff member or any other person(s) while inside or outside of the WCS facility, including electronic communications.
2. Verbal abuse, including the use of profanity, at or in the presence of a staff member or any person(s) while inside or outside any WCS office, including electronic communications.
3. Any type of actual physical confrontation toward a staff member or any other persons(s) while inside or outside any WCS facility.
4. Providing false or misleading information regarding you or any household member(s).
5. Theft from agency or staff member(s) or any other person(s) while inside or outside any WCS facility.
I acknowledge that once terminated, I will not be allowed to reapply for any services with WCS for a period of 1 – 2 years depending on the severity of the violation. The ban from services will remain in effect even if the person(s) who committed the violation no longer uses WCS.
I acknowledge that all documentation regarding the violation will be maintained in my client file. IF a violation is committed, I shall have the right to appeal in writing to the Program Director within 10 days of violation.
I acknowledge that I may or may not receive financial assistance, including utility services and all other financial services. I am NOT guaranteed financial assistance from WCS.
I acknowledge that I need to always stay in a vehicle when on the premises of WCS. I will not exit my vehicle except to load my vehicle with my groceries and/or available items.
Upon reapplication for program services, Applicant has a responsibility to:
1. Provide required information to verify eligibility for assistance whenever the case is opened or reopened.
2. Report any changes in the household – income, number of people in the home, etc. which may affect eligibility.
3. Report any changes in utility provider when receiving utility assistance.