• SCC C3 Business Pitch Bootcamp

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    Breakthrough Alliance of Colorado, Inc. Volunteer Release and Waiver of Liability. Please read the following carefully to understand what permissions you are giving Breakthrough as well as what rights you are waiving.

  • This Release and Waiver of Liability (the “Release”) executed on the date set forth below by:

    First Name * 
    Last Name *     
    Email *   

  • (“Volunteer”) in favor of Breakthrough Alliance of Colorado, Inc. (“Breakthrough”), a not-for-profit corporation organized and existing under the laws of the State of Colorado, and each of the Released Parties (as defined below).

    The Volunteer hereby freely and voluntarily executes this Release and irrevocably agrees as follows:

    1. Volunteer Services: The Volunteer desires to provide volunteer services for Breakthrough and to engage in activities related to serving as a volunteer, including, but not limited to, providing mentoring services (the “Services”). Volunteer will provide these services at the written direction of, and pursuant to an agreement or arrangement with Breakthrough. Volunteer will not charge participants any fees for these services and Volunteer is providing them solely of their own accord. Volunteer understands that they will not receive any additional remuneration for providing these services for the benefit of Breakthrough.

    2. Acknowledgement: The undersigned understands that (a) the scope of the Volunteer’s relationship with Breakthrough is limited to a volunteer position, and that no compensation, remuneration, or any benefits of any kind are expected by, or will be paid to Volunteer in return for performance of the Services of otherwise, and (b) Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of or in connection with the volunteer program and the Services. The Volunteer acknowledges that the Volunteer is not acting as an employee of the Released Parties in connection with the Activity and that the Volunteer is performing services without being under any contract for hire, express or implied, and without receiving any remuneration for such services.

    3. Waiver and Release: Volunteer, for myself and on behalf of my descendants, dependents, heirs, executors, administrators, assigns and successors, and each of them, hereby release and forever discharge, covenant not to sue, and hold harmless Breakthrough, its past, present and future officers, directors, equity holders, employees, and/or agents, volunteers, advisors, program participants, successors and assigns, and each of them (individually and collectively, the “Released Parties”), from and with respect to any and all claims, causes of action, agreements, obligations and demands, known or unknown, arising out of or in any way related to my performance of the Services. Without limiting the generality of the foregoing release, Volunteer understands and acknowledges that (a) this Release discharges the Released Parties from any liability, claim, or demand that I may have against any Released Party with respect to bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s performance of the Services or occurring while Volunteer is providing the Services, including that which results from any Released Party’s negligence, or whether caused by the acts, omissions, statements and/or representations made by, performed by, or omitted by or on behalf of the Released Parties or other volunteers, vendors, third parties, or otherwise, and (b) as a volunteer, Volunteer hereby expressly assume the risk of injury of harm from Volunteer’s performance of the Services. Volunteer also understands that the Released Parties do not assume any obligation to provide financial or other medical, health, or disability assistance in the event of injury or illness.

    4. Insurance: Volunteer understands that Breakthrough does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance of any nature in the event of injury, illness, death, or damage to my property. Volunteer expressly waives any such claim for compensation or liability on the part of Breakthrough.

    5. Medical Treatment: Volunteer does hereby and forever release and hold harmless the Released Parties from any and all claims which arise or may hereafter arise as a result of any first aid or medical treatment rendered in connection with the Services. In case of serious injury, the Volunteer gives his or her permission for medical treatment should it become necessary.

    6. Photographic Release: Volunteer grants and conveys to Breakthrough, for no compensation, all right, title, and interests in any and all photographs, images, video, or audio recordings of Volunteer or his/her likeness or voice made by Breakthrough in connection with my providing the Services or any marketing, promotion, or publicity thereof. Further, any photos or video coverage of Volunteer may be used in future publications and promotions, and that these photos and videos are in the property of Breakthrough.

    7. Representation and Warranty: Volunteer acknowledges, represents and warrants that: (i) Volunteer is fully qualified, in good health, and in proper physical condition to undertake and perform the Services; (ii) Volunteer is fully qualified to participate in the Services; (iii) Volunteer will undergo all required training before participating in the Services; and (iv) Volunteer is 18 years of age or older and mentally competent to enter into this Release.

    8. Interpretation of Agreement: As a volunteer, the undersigned expressly agrees that this Release is intended to be as broad and inclusive as permitted by laws of the State of Colorado and that this Release shall be governed by and interpreted in accordance with the laws of Colorado, without regard to its conflict of law principles. In the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected. By signing below, the undersigned expresses his/her understanding and intent to enter into this Release knowingly, willingly, and voluntarily.

    9. Arbitration: Any controversy, dispute, or claim arising out of or relating to the interpretation, performance, or alleged breach of this Release shall be resolved by mandatory, confidential, and binding arbitration at the request of either party in accordance with the rules of the American Arbitration Association. There shall be no right to arbitrate on a class basis or on behalf of the general public or other group of persons similarly situated. Any and all submissions, materials, exhibits, testimony, decisions, awards, or other material related to the arbitration process or the underlying dispute shall be treated as confidence under this agreement. Proceedings under this Section shall be conducted exclusively in Colorado. Further, the prevailing party shall be entitled to recover its reasonable attorneys’ fees and cost.

    10. Rules and Regulations: Volunteer agrees to abide by all rules and regulations established by Breakthrough with respect to my volunteer services and will not assist any other person in violating any such rule or regulation, nor condone such violation.

    11. Participant Relationships. Volunteer acknowledges that no personal relationship with current or past Breakthrough participants who are currently incarcerated will be held. Clear and appropriate boundaries must be set by volunteers (no promises, no exchange of personal information, etc.) while in the facility. Should this happen, Volunteer will no longer be allowed to participate with Breakthrough as a volunteer. If the Volunteer has a program, service, or other resource that can be useful to Breakthrough participants upon their release, the Volunteer must meet with Breakthrough staff first to advise them of possible resource(s). Outside of the facility, Breakthrough staff will also serve as intermediaries between participants and volunteers to facilitate collaboration.

    12. Termination of Relationship: Volunteer acknowledges further that nothing in this Release shall obligate the Released Parties to continue to retain the Volunteer as a volunteer, and that the Released Parties have and will continue to have the absolute and unconditional right to terminate the Volunteer’s services for any reason or no reason, with or without cause or prior notice. In addition, Volunteer can terminate its relationship with Breakthrough at any time upon written notice to Breakthrough.

  • Volunteer confirms and acknowledges that execution of this Release is a condition of participation in the volunteer program and providing the Services. The undersigned has read and fully understands all of the terms and consequences of this Release and voluntarily executes it.

    Print Name   *   *   
    Signature   *   
    Signature Date   Pick a Date*   

    Birthdate   Pick a Date*   
    Mobile Phone      *   

    Entry into correctional facilities may be restricted at any time, for any reason, with little notice. In the event of a cancellation, we will make reasonable efforts to notify attendees.

    If you enter your phone above, you consent to receiving text communication for the purpose of notifying you about a cancellation. Breakthrough will never spam you or give out your information to unauthorized parties.

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  • As a volunteer with Breakthrough, you are entering a correctional facility. Please read the following carefully to understand the restrictions you are under, and provide CDOC with the required information.

  • Consent to Search Authorization and Registration

    A. Under the provisions of Colorado law, the following items are declared contraband to the offender population. Visitors will not introduce or attempt to introduce these items into this facility/office or at any location where an offender is likely to be located while such offender is in the custody and under the jurisdiction of a political subdivision of the State of Colorado or the Department of Corrections, but not on parole.

    1. Any dangerous instrument: A firearm, explosive device or substance (including ammunition), knife or sharpened instrument, poison, acid, bludgeon, or projective device, or any other device, instrument, material, or substance which is readily capable of causing or inducing fear of death or bodily injury, the use of which is not specifically authorized.

    2. Alcoholic beverages.

    3. Controlled substances.

    4. Marijuana and/or marijuana products.

    5. Any key, key pattern, key replica, or lock pick.

    6. Any tool or instrument that could be used to cut fence or wire, dig, pry, or file.

    7. Any money or coin of United States or foreign currency or any written instrument of value.

    8. Any un-canceled postage stamp or implement of the United States postal service.

    9. Any counterfeit or forged identification card.

    10. Any combustible material.

    11. Any drug, other than a controlled substance, in quantities other than those authorized by a physician.

    12. Any mask, wig, disguise, or other means of altering normal physical appearance which could hinder ready identification.

    13. Any drug paraphernalia: all equipment, products, and materials of any kind which are used, intended for use, or designed for use in planting, propagating, cultivating, growing, harvesting, packaging, repackaging, storing, containing, concealing, injecting, ingesting, inhaling, or otherwise introducing into the human body a controlled substance in violation of the laws of this state.

    14. Any material which is “obscene.”

    15. Any chain, rope or ladder.

    16. Any cigarettes or tobacco products, tobacco substitutes, vaping products or e-cigarettes or vaping liquid.

    17. Any portable electronic communication device including but not limited to cell phones, public, private or family style radios, pagers, personal digital assistants, any other device capable of transmitting or intercepting cellular or radio signals, and portable computers; except those devices authorized by the executive director of the DOC.

    Any article or thing that poses or may pose a threat to the security of the DOC facility/office as determined by the administrative head of the facility/office. This will include but not be limited to: matches, cigarette lighters, any substances used for brewing or making intoxicating beverages, any counterfeit or forged medium of exchange, or paraphernalia used to produce this medium, any written message, item or object that is to be sent or brought to another offender, batteries, cameras, film, flashbulbs, flashlights, chewing gum, pets, plant life, or any article or substance that is not specifically allowed by facility/office procedures.

    AUTHORITY C.R.S. 18-7-101, C.R.S. 18-8-203-204.2, C.R.S. 18-18-102, C.R.S. 18-18-202-207 and C.R.S. 18-18-426

     

    B. Penalties:

    Anyone violating section a may be barred from the facility and may be subject to criminal prosecution

     

    C. Declaration of Consent and Waiver

    Any person entering a DOC facility without a permanent, volunteer or construction ID card will have a background check completed, prior to entry into a facility or onto DOC owned property. If possible, a completed AR form 300-27C, Consent to Search Authorization and Registration, must be received ten days in advance of the anticipated date of access.As a condition of entering the property of Colorado Department of Corrections, I hereby consent to any search of my person and/or any of my personal property, or of the person of any minor children accompanying me or of any vehicle that I may bring on the grounds of this facility/office. I acknowledge that I have the opportunity to leave the facility/office immediately if I choose not to give this consent to search.I hereby declare that I have read and understand, and will abide by the provisions of the above regulation, AR 300-27. I understand that violation of any of the above provisions, or the entering of any false information on this form may result in my being barred from or denied access to the Colorado Department of Corrections state penitentiary or any of its facilities.

  • Section I: Guest Data

    Date of Visit   Pick a Date*   
    Purpose of Visit/DOC Person of Contact:      

    Have you ever been incarcerated?   *   
    If yes, are you currently under supervision?      
    If under supervision, can you get a letter of support from your supervising authority?      
    If under supervision, when did your supervision start? when does it end? When are you eligible for early release?
       
    If once under supervision, how long have you been off supervision?
       

  • Section II: Guest Vehicle Data

    License Plate Number   *   
    License Plate Issuing State   *   

    Make of Car      
    Model      
    Year      
    Car Color      

    If you don't know your vehicle information today, you can provide it at the facility when you arrive.

  • Section III: Guest Data

    First Name   * 
    Last Name   * 
    MI

    DOB   Pick a Date*      
    Sex   *   

    Street Address  *   
    City   * 
    State  *
    Zip Code   *         

    Driver's License/ID Number   *   
    Driver's License/ID Issuing State   *   

    Height   *   
    Weight   *   
    Hair Color   *   
    Eye Color   *   

    The information I have provided is correct and I have read and understand the Declaration of Consent and Waiver.

    Signature *   
    Signature Date   Pick a Date*   

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  • Guidelines for Guests
    You are requesting clearance to visit a Colorado Department of Corrections facility as a guest. To make your visit safe we ask you to read the following guidelines and sign on page 2. Remain with your escort at all times and follow directions. Enjoy your visit.
    The completed form must be submitted for each guest request when providing background information for clearance.
     
    Do's for Guests
    • DO REMEMBER!!! SECURITY ALWAYS COMES FIRST!
    • Do follow DOC rules. Ask questions if you are uncertain.
    • Do dress appropriately. Casual business attire. Conservative is best.• Do sign-in and sign-out on the appropriate forms each time you enter or leave ANY DOC FACILITY.
    • Do wear the appropriate badge in view of security DOC employees at all times. (Green - Volunteer, Red - Guest)
    • Do respect the confidentiality of records and other privileged information. Listen carefully and sincerely.
    • Do recognize the need for ongoing training and supervision.
    • Do be loyal to the DOC and the offenders you serve. Be a team player and always remain professional.
    • Do be dependable. Arrive and leave on time. Earn respect from the offenders and DOC employees.
    • Do notify the facility coordinator or shift commander if it is impossible to be at the facility on time.
    • Do treat everyone in a professional and ethical manner, but do not become personally involved.
    • Do treat offenders with respect. Maintain honesty and accept others whose values system maybe different from your own.
    • Do be objective, enthusiastic, mature and confident. Do use discretion and good judgment.
    • Do submit reports when required.
    • Do obtain written approval from the facility volunteer coordinator prior to changing the program formats.

    Don'ts for Guests
    • Do not supply phone number or address or personal information about yourself, other volunteers, or DOC employees.
    • Do not touch offenders inappropriately (NO HUGGING - Handshake only).
    • Do not criticize what is not understood. Ask for an explanation.
    • Do not make a phone call for an offender, or perform any similar service.
    • Do not give anything to an offender.
    • Do not take anything, including letters, into a facility. Bring nothing out without explicit permission.
    • Do not enter into a business venture with an offender.
    • Do not give gifts, loans, or items to an offender. Do not accept gifts, loans, or items from an offender.
    • Do not use photography equipment on institutional property for any purpose without specific permission.
    • Do not proselytize. You may share your faith beliefs when asked.
    • Do not make derogatory remarks about ANY faith group or other organization.
    • Do not promise to keep information given to you by an offender confidential if it involves safety and security in any manner.
    • Do not wear tight-fitting clothing, shorts, cut-offs, dresses above the knees, or any revealing clothing.
    Any violations of these do's and don'ts may result in the termination of your guest service!

    Initials   *   

  • Security Issues

    Safety and security are our top priority. If you observe an unsafe or non-secured condition, notify your facility chaplain, volunteer coordinator, or other DOC employees immediately.

    Professionalism: Volunteers aid DOC employees. Appearance, conduct, language, and attitude reflect your character and integrity. Earn respect and be patient with DOC employees.

    Personal parameters and boundaries: When possible, use formal titles, such as: Administrative Head, Captain, Officer, Mr., Ms., or Sir. Do not befriend an offender for the purpose of intimacy. Do not supply your phone number or address, or personal information about yourself, another volunteer, or DOC employee. Avoid contact with an ex-offender.

    Contraband: Any item not specifically authorized by a departmental administrative directive may be considered contraband and may be confiscated to avoid compromising facility safety and security. Offender property must come from approved sources - NOT VOLUNTEERS OR GUESTS. REMEMBER: Nothing in; nothing out.

    Search procedures: Any person and/or vehicle is subject to search upon entering the grounds of a correctional facility. Volunteers and guests may refuse to be searched. Such refusal will result in termination of volunteer or guest status. Facility access may require an individual to clear a metal detector. Ensure clothing and additional adornment items are free of metal (bobby pins, hair ties, ink pens, etc.).

    Managing aggressive behavior: If an offender becomes hostile, remain calm, back away, and immediately seek DOC employee assistance; correctional employees are trained to handle difficult situations. If alone, gradually move to a location where you can be seen by DOC employees.

    Offender Fights: Do not try to break up offender fights. Summon DOC employees to handle the situation.

  • Meet Your Clients

    Offenders are former free citizens who have committed crimes and are now confined. These offenders are like us in many ways. They have dreams, loved ones, and they laugh and cry. You may notice a sense of hopelessness among members of the offender population. As a volunteer or guest with an offender program, you bring in affirmation, encouragement, and hope.

    Offenders tend to fall into one of four prison cultures:

    1. Individuals: A large majority of these offenders come from dysfunctional families. Physical or sexual abuse during childhood is common. Lack of education may cause people to turn to crime. Many offenders are functionally illiterate. Drug and alcohol use are often major influences in offender's lives.

    2. Ethnic groups: The offender population within the DOC is made up of several ethnic groups. The percentages of these groups vary in day-to-day operation. Be aware of the differing ethnic groups, and treat all with professional respect.

    3. Gangs: Many offenders were gang members before incarceration. Others become members in prison as a means of survival. There are many different gangs represented in prison. Violence is often a part of gang affiliation.

    4. Institutionalized: Prison becomes a comfort zone to this group of offenders. Since the DOC provides all their necessities, they are comfortable in prison and therefore hesitant to leave the prison environment.

    Offender Relationships - Please circle yes or no for each question. Please submit written details for any yes' on a separate sheet of paper.

    1 - Are you related to any DOC offender (including parolee)?
       *         

    2 - Within the last two years have you visited with any DOC offender (including parolee)?
       *         

    3 - Within the last two years have you written to or corresponded with any DOC offender?
       *         

    4 - Have you, or someone you know, EVER been victimized by a current DOC offender?
       *         

    5 - Do you currently have any legal action involving any DOC offender?
       *         

    Print Name   *   *   

    Signature   *   

    Signature Date   Pick a Date*   

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