Kairos Inside Excellence Initiative Checklist

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1 I. Team Composition and Formation # YES NO WT. ITEM Page/paragraph reference 1 4 Was EZRA used by the Leader to prepare the Team? III-12/ Were there 4 Team members per Family: 3 seated Team and 1 Team Family servant? III-27 c Minimum requirement met for "qualified" clergy? (2 for 4 Families or less, 3 for 5 Families or more) II-24/ Did the Team have a reasonable ecumenical balance? II-20, III-4 #1 5 2 Were at least 1/3 of the Team first-time members? III-17 D Were any new 20%, non-4th Day members properly and constantly mentored? III Were all Team members worshipping regularly in a Christian church? III Were all Team members regularly participating in an accountability Prayer & Share group? III-19, III-5 #6 9 2 Are all Team members compliant with the "Three and Out" rule except those on Leadership track? III-5 #3; III-18 D Were there a minimum of 34 actual hours of Team Formation? III-1, III-6 #6, III-47 H Did all Team members attend at least 75 Team meetings? III-43 G Were all talks previewed according to the preview guidelines in the Program Manual? III-20/ Were all talk speakers counseled about staying within outline guidelines and time limits? III-21/ Were all of the meditations and homilies rehearsed as part of Team Formation? III Does the Chaplain have access to and knowledge of the Kairos Penetration Plan? II-4/7 MAX: 40 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% II. Team Leadership 1 4 Did the Team have a Weekend Leader, Advising Leader, and an Observing Leader? III-15, 26, & Was the Leader approved by the State Chapter plus attend an Advanced Kairos Training? II-22, III-13/ Was the Inside Coordinator position filled? III-15, 26, & Was the Head Servant position filled? III-15, 26, & Was the Agape Coordinator position filled? III-15, 26, & Was the Team Music Leader position filled by a volunteer? III-26 & MAX: 20 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% p.1 of Feb 2011 Final

2 III. Team Behavior # YES NO WT. ITEM Page/paragraph reference 1 3 Did the Team comply with all DOC and institutional rules/guidelines, especially security? II-1 A, III-46 #3, III-49 g 2 4 Did the Team avoid activities that divide, e.g. denominationally-specific activities, etc.? III-4 # 2, 3, 4, 6, 7, & Did members dress conservatively according to Program Manual (no logos, rich jewelry, etc.)? III-5 #5 4 3 Did all Team members perform services without rebellion? III-3 # 3 & 8, III-5 #1 & Did all Team members stay for the entire Weekend, except for personal illness or emergencies? III-5 #2 Yes's 0 Compliance MAX: 16 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% IV. Conduct of the Weekend 1 4 Was Weekend conducted over a continuous 3-1/2 Day period, i.e. no avoidable interruptions? I-6 D Was the Program conducted in sequence as specified in the Program Manual? I-6 D-1, III-9 #6 3 4 Did Leader refrain from rotating seating arrangements at Family Tables after Friday morning? III-54 # Did the Team refrain from adding or substituting activities during the Weekend? III-9 # 2,3 5 2 Were Residents supplied with supplies (Notebooks, pens/pencils, colored markers, Posterboard, etc.)iv-28/ Were all Participants selected according to the Kairos Penetration Plan? II-4/7 7 3 Did the Kairos graduates assisting as servants remain in the background when not serving? III-40 C Were all 4 Forgiveness meditations given by the same Team member? III-24 b.1 MAX: 27 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% V. Music 1 3 Was the Music Team effective in a manner consistent with the Program Manual? III-37/40 6 a,b,c 2 2 Did the Music Leader select appropriate music? III-37/40 6 a,b,c 3 4 Did the Music Team use a legal songbook or other legal means of providing music? AKT Manual, "Music" 4 1 Did the Music Leader lead an approved Blessing Before / Blessing After for each meal? IV-34, IV-78/79, IV-114 MAX: 10 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% p.2 of Feb 2011 Final

3 VI. Hosting 1 4 Was a single Weekend host assigned to each Participant for a 1-to-1 ratio? III-30/31 d, IV -6, 8/9 2 3 Did all first-time Team members host only one Participant? III Were the Observing Leader & Inside Coordinator exempt from hosting a Participant? III-29 Team chart & 31 MAX: 10 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% VII. Agape 1 3 Was General agape obtained and displayed throughout the Weekend? III-33/ Were general agape items used (placemats, posters, prayer vigil charts/wheels/chains, etc.)? III Was personal agape provided (letters from Team members)? III-35/36 MAX: 10 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% VIII. Weekend Activities: Thursday 1 1 Did the Leader hold a Team meeting before departing for or at the prison before the official start? IV-6 & Did Team hosts greet Participants appropriately upon Participants' arrival? IV-3, 6; III-30/31; IV 8/ Were Leader's Opening Talk and Introductions accomplished following the Manual script? IV-11/ Were Freedom Guides distributed to all Participants? IV Did the Clergy giving the meditations follow the Manual script? IV-18/ Were Leader's Closing talk & Evening prayer according to the Manual script? IV Did the Leader hold a Team meeting at the end of the evening? IV-28/ Did Leader and Team maintain inmate confidentiality at evening meeting with Support Team? III-53 #2 and IV-16 MAX 20 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% p.3 of Feb 2011 Final

4 IX. Weekend Activities: Friday 1 3 Did Team-member hosts greet Participants appropriately upon Participants' arrival IV Was the morning chapel service conducted per the script? IV-36/ Did speaker for the Choices talk cover the essential points and stay within time limits? IV-46/ Did the Inside Coordinator organize the group photo? IV Did speaker for the You Are Not Alone talk cover the essential points and stay within time limits? IV-50/ Did the speaker for the Friendship With God talk cover essential points and stay within time limits? IV-54/ Was the noon chapel program conducted per the script? IV Was the Isaiah 49 Homily presented appropriately by clergy? IV-57/ Was the Isaiah 49 Homily followed by the required Isaiah 49 song? IV Was the Acceptance of Self meditation given? IV-59/ Did speaker forthe Church talk cover essential points and stay within time limits? IV-61/ Did speaker for the Opening the Door talk cover essential points and stay within time limits? IV-66/ Were Spiritual Counseling directions given by a clergy? IV Did Observing Leader conduct an affirming review of posters and summaries at the Poster Party? IV-34/ Was the closing chapel program conducted per the script including Accepting God's Forgiveness? IV-35, Did the Leader hold a Team meeting at the end of the evening? IV-75/ Did the Team preserve inmate confidentiality among Support Team at the Team meeting? III-53 #2, IV-16 MAX: 50 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% X. Weekend Activities: Saturday 1 3 Did Team hosts greet Participants appropriately upon Participants' arrival? IV Was the morning chapel program conducted per the script including Forgiveness of Others Part I? IV-77; IV-81/ Did speaker for the Discovery Through Study talk cover essential points and stay within time limits? IV-90/ Was the Leader's announcement made after the Discovery Through Study talk? IV Did Family chapel visits take place? IV Did speaker for the Christian Action talk cover essential points and within time limits? IV-95/ Was the Prayer for Acceptance of Others givren? IV-78; Freed. Guide p Did the Participants receive personal agape? IV-99 p.4 of Feb 2011 Final

5 Saturday continued: 9 4 Was The Wall meditation conducted per script? IV-100/ Did Family discussion occur after The Wall meditation? IV Did Observing Leader conduct an affirming review of posters and summaries? IV Did Leader conduct an invitation to the Open Mike with counsel about the "Master Carpenter"? IV-104/ Did Observing Leader conduct an Open Mike session? IV Was the evening chapel service conducted per the script? IV Were prayers from the Freedom Guide given? IV Was Forgiveness of Others Part 2 given? IV Was the Forgiveness Windup Homily given by a clergy? IV Was the Forgiveness Windup service conducted by a clergy? IV-108/ Was a Hand-washing ceremony conducted by the additional clergy? IV-109/ Did the Leader dismiss Participants in silence, i.e. no hugs, handshakes, or celebrations, etc.? IV Did the Leader hold a Team meeting at the end of the evening? IV Did the Leader and the Team preserve inmate confidentiality among the Support Team? III-53 #2, IV-16 MAX: 66 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% XI. Weekend Activities: Sunday 1 3 Did Team hosts greet Participants appropriately upon arrival? IV Was the morning chapel program conducted per the script? IV Was the Meditation to Heal Past Memories given by a clergy according to the script? IV-116/ Was this meditation conducted in the chapel atmosphere? IV Did the Music Team lead the song Sanctuary immediately after the meditation? IV Did speaker forthe Rooster Story cover the essential points and stay within time limits? IV-127/ WasThe Rooster Story conducted in the chapel atmosphere? IV Was the discussion for both meditations conducted in the Community Room? IV Did speaker forobstacles to Accepting God's Grace talk cover essential points and within time limits?iv-129/ Did speaker for thewalking in God's Grace talk cover essential points and within time limits? IV-134/ Did Weekend Leader's talk Hang in There cover essential points and within time limits? IV-142/147 p.5 of Feb 2011 Final

6 Sunday continued: 12 3 Was the Prayer & Share simulation breakout conducted properly? IV Were Family Prayer Circles conducted according to the Program Manual? IV-146/ Did the Participants prepare agape posters per the Building the Body exercise? IV Did the Leader give the Final Talk? IV-148/ Were crosses distributed to Weekend Participants in a Cross Ceremony? IV-151 MAX: 44 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% XII. Weekend Activities: Closing 1 4 Did the Ad Ldr greet Resident Community/Outside guests to review proper procedures for Closing? III-51; IV Were Free-world guests in attendance at the Closing? IV Did a KO representative speak at Closing? IV-153; III Was a physical "separation" maintained between Free-world guests and Residents (start to finish)? III-51/ Were Participants given an opportunity to share their responses to the three questions? IV Did the Leader introduce distinguished guests? IV Did a graduate from a previous Kairos Weekend give the 4th Day address? IV Was the Chaplain invited to make remarks? IV-153 MAX: 22 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% XIII. Post Weekend Activities: The Continuing Ministry 1 3 Did Leader conduct the Instructional Reunion according to the script? V-1/ Was the Instructional Reunion completed within the necessary timeframe? V Are previous Prayer & Share fellowship groupings (either formal or informal) consistent w/ Manual? V-1/35; esp. V-4/5 4 4 Do provisions exist to allow sole leadership of Monthly Reunions for the chaplain and Residents? VI-14/15, 19; VI Are previous Monthly Reunions conducted in a way consistent w/ Program Manual requirements? VI-19/ Did the Leader submit an EZRA Weekend Report within a week after the Instructional Reunion? EZRA guidelines 7 3 Was there a 1- or 2-Day Retreat conducted approx. 3 months prior to this Weekend? VI-25/43 MAX: 22 EVALUATOR: Divide " Yes's" by MAX to get percentage of compliance Score: 0% p.6 of Feb 2011 Final

7 KAIROS INSIDE EXCELLENCE INITIATIVE CHECK LIST TALLY SHEET AREA MAX REMARKS IF NECESSARY Actual % SCORE SCORE I 40 0% II 20 0% III 16 0% IV 27 0% V 10 0% VI 10 0% VII 10 0% VIII 20 0% IX 50 0% X 66 0% XI 44 0% XII 22 0% XIII 22 0% SIGNED: State Chair or Designee DATE: PRINTED: p.7 of Feb 2011 Final

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