MENTOR / FOCUS CONTRACT

As a Mentor in the FOCUS program, I agree to the following:

1. I am prepared to participate in the FOCUS mentor training as described in the Mentor Application.
2. I am prepared to make a commitment of 12 months
   to this match.
3. I am prepared to make a time commitment of 1-2 hours per week for client visits.
4. I commit not to act either as a therapist or religious counselor, but to refer clients to others for these needs, understanding that this is not FOCUS purview.
5. I will sign and respect the FOCUS Client Confidentiality Agreement.q
6. I agree to the following responsibilities:
   • Help the offender make the transition back into society.
   • Protect the well-being of the offender.
   • Identify resources available to the offender.
   • Make contact with all involved agencies representatives, if appropriate.
   • Act as a consistent, caring reference point.
7. I am prepared to communicate on a regular basis with FOCUS staff in person, by phone or by email as the situation requires. I am prepared to share all information in the case with FOCUS.
8. I will post notes of each meeting with the client on the FOCUS web log within 3 days of. the meeting. I understand that this log is the property of FOCUS and that the confidentiality of the client and myself will be strictly kept.
9. I commit to upholding the safety of myself and FOCUS by:
   refraining from any physical contact with the client which could be open to misinterpretation (pat on arm or back, hand shake permitted)
   not sharing alcohol or drugs with the client
   not sharing my last name or any personal information with the client
   not sharing any contact information about the FOCUS office or staff with the client
10. I will abide by all the FOCUS, Jail and Probation Department guidelines.

I have read and agree to the above conditions and procedures.

Mentor signature:   __________________    Date   __________________   

Printed name:   __________________   

Contact information:   __________________   
Phone: hm   __________________    wk   __________________   
Email:   ______________________________________________________   
Address:   ____________________________________________________