Shock Incarceration Program
Memo of Agreement
Name
.............................................................................................................................................
Facility
DIN
I accept the foregoing program and agree to be bound by the terms and conditions thereof. I understand that my participation in the program is a privilege that may be revoked at any time at the sole discretion of the Commissioner. I understand that I must successfully complete the entire program to obtain a certificate of earned eligibility upon the completion of said program, and in the event that I do not successfully complete said program, for any reason, I will be returned to a nonshock incarceration correctional facility to continue service of my sentence.
I have read and understand the above Memo of Agreement, and I agree to fully abide by the terms of the memo.
Inmate Signature .. Date ....................................................................................................................................................
Witness .. Date ......................................................................................................................................
cc: Inmate Central Office File Institutional File Parole Institutional File
N.Y. Comp. Codes R. & Regs. Tit. 7 § 1800.9