KI Excellence Initiative Checklist - Kairos

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
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-12/13
2 4 Were there 4 Team members per Family: 3 seated Team members and 1 Team Family servant? III-27 c.2
3 4 Minimum requirement met for "qualified" clergy? (2 for 4 Families or less, 3 for 5 Families or more) II-24/28
4 1 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-1
6 2 Were all the new 20%, non-4th Day members properly and constantly mentored? III-19
7 2 Were all Team members worshipping regularly in a Christian church? III-18
8 2 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-1
10 4 Was there a minimum of 34 actual hours of Team Formation? III-1, III-6 #6, III-47 H-2
11 3 Did all Team members attend at least 75% of Team meetings? III-43 G-1
12 4 Were all talks previewed according to the preview guidelines in the Program Manual? III-20/22
13 1 Were all talk speakers counseled about maintaining outline guidelines and time limits? III-21/23
14 3 Were all of the meditations and homilies rehearsed as part of Team Formation? III-22
15 2 Did the Chaplain have access to and knowledge of the Kairos Penetration Plan? II-4/7
MAX:
% of
40 0 0 Compliance 0%
II. TEAM LEADERSHIP
1 4 Did the Team have a Weekend Leader, Advising Leader, and an Observing Leader? III-15, 26, & 29
2 4 Was the Leader approved by the State Chapter and attend an Advanced Kairos Training? II-22, III-13/14
3 4 Was the Inside Coordinator position filled? III-15, 26, & 29
4 3 Was the Head Servant position filled? III-15, 26, & 29
5 3 Was the Agape Coordinator position filled? III-15, 26, & 29
6 2 Was the Team Music Leader position filled by a volunteer? III-26 & 37-40
MAX:
% of
20 0 0 Compliance 0%
p. 1 of 8 KI Excellence Initiative 03/19/2011

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
III. TEAM BEHAVIOR
# yes/no WT. ITEM Page/Paragraph Reference
1 3 Did the Team comply with all DOC and institutional rules/guidelines, especially the security ones? 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, & 8
3 3 Did members dress 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 & 7
5 3 Did all Team members stay for the entire Weekend, except for personal illness or emergencies? III-5 #2
MAX:
% of
16 0 0 Compliance 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-1
2 3 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 or changing seating arrangements at Family Tables after Friday morning? III-54 #15
4 4 Did the Team refrain from adding to, subtracting from, 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-28/32
6 3 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.7
8 4 Were all 4 Forgiveness meditations given by the same Team member? III-24 b.1
MAX: % of
27 0 0 Compliance 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:
% of
10 0 0 Compliance 0%
p. 2 of 8 KI Excellence Initiative 03/19/2011

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
VI. HOSTING
# yes/no WT. ITEM Page/Paragraph Reference
1 4 Was every single Participant hosted by a single Team member to establish 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-31
3 3 Were the Observing Leader & Inside Coordinator exempt from hosting a Participant? III-29 Team chart & 31
MAX:
% of
10 0 0 Compliance 0%
VII. AGAPE
1 3 Was General agape obtained and displayed throughout the Weekend? III-33/36
2 3 Were General agape items used (placemats, posters, prayer vigil charts/wheels/chains, etc.)? III-35
3 4 Was personal agape provided (letters from Team members)? III-35/36
MAX:
% of
10 0 0 Compliance 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 & 8
2 3 Did Team hosts greet Participants appropriately upon Participants' arrival? IV-3, 6; III-30/31; IV 8/10
3 3 Were Leader's Opening Talk and Introductions accomplished following the Manual script? IV-11/17
4 3 Were Freedom Guides distributed to all Participants? IV-6
5 3 Did the Clergy giving the meditations follow the Program Manual script? IV-18/26
6 3 Were Leader's Closing talk & Evening prayer according to the Program Manual script? IV-27
7 1 Did the Leader hold a Team meeting at the end of the evening? IV-28/31
8 3 Did Leader and Team maintain inmate confidentiality at evening meeting with Support Team? III-53 #2 and IV-16
MAX:
% of
20 0 0 Compliance 0%
p. 3 of 8 KI Excellence Initiative 03/19/2011

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
IX. WEEKEND ACTIVITES: FRIDAY
# yes/no WT. ITEM Page/Paragraph Reference
1 3 Did Team-member hosts greet Participants appropriately upon Participants' arrival IV-32
2 3 Was the morning chapel service conducted per the script? IV-36/43
3 4 Did speaker for the Choices talk cover the essential points and stay within time limits? IV-46/49
4 1 Did the Inside Coordinator organize the group photo? IV-32
5 4 Did speaker for the You Are Not Alone talk cover the essential points and stay within time limits? IV-50/53
6 4 Did the speaker for the Friendship With God talk cover essential points and stay within time limits? IV-54/56
7 3 Was the noon chapel program conducted per the script? IV-33
8 3 Was the Isaiah 49 Homily presented appropriately by clergy? IV-57/58
9 3 Was the Isaiah 49 Homily followed by the required Isaiah 49 song? IV-33
10 3 Was the Acceptance of Self meditation given? IV-59/60
11 4 Did speaker forThe Church talk cover essential points and stay within time limits? IV-61/65
12 4 Did speaker for the Opening the Door talk cover essential points and stay within time limits? IV-66/69
13 1 Were Spiritual Counseling directions given by a clergy? IV-70
14 3 Did Observing Leader conduct an affirming review of posters and summaries at the Poster Party? IV-34/35
15 3 Was the closing chapel program conducted per the script including Accepting God's Forgiveness ? IV-35, 73-74
16 1 Did the Leader hold a Team meeting at the end of the evening? IV-75/76
17 3 Did the the Leader and Team preserve Participant confidentiality among Support Team? III-53 #2, IV-16
MAX:
% of
50 0 0 Compliance 0%
p. 4 of 8 KI Excellence Initiative 03/19/2011

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
X. WEEKEND ACTIVITIES: SATURDAY
1 3 Did Team member hosts greet Participants appropriately upon Participants' arrival? IV-77
2 3 Was the morning chapel program conducted per the script including Forgiveness of Others Part I ? IV-77; IV-81/87
3 4 Did speaker for the Discovery Through Study talk cover essential points and stay within time limits? IV-90/93
4 2 Was the Leader's announcement made after the Discovery Through Study talk? IV-94
5 3 Did Family chapel visits take place? IV-78
6 4 Did speaker for the Christian Action talk cover essential points and within time limits? IV-95/98
7 2 Was the Prayer for Acceptance of Others given? IV-78; Freed. Guide p13
8 4 Did the Participants receive personal agape? IV-99
9 4 Was The Wall meditation conducted per script? IV-100/102
10 3 Did Family discussion occur after The Wall meditation? IV-102
11 3 Did Observing Leader conduct an affirming review of posters and summaries? IV-79
12 3 Did Leader conduct an invitation to the Open Mike with counsel about the "Master Carpenter"? IV-104/105
13 2 Did Observing Leader conduct an Open Mike session? IV-79
14 3 Was the evening chapel service conducted per the script? IV-80
15 3 Were prayers from the Freedom Guide given? IV-80
16 3 Was Forgiveness of Others Part 2 given? IV-106
17 2 Was the Forgiveness Windup Homily given by either a clergy or the chaplain? IV-107
18 4 Was the Forgiveness Windup service conducted by either a clergy or the chaplain? IV-108/110
19 3 Was a Hand-washing ceremony conducted by the additional clergy? IV-109/110
20 4 Did the Leader dismiss Participants in silence, i.e. no hugs, handshakes, or celebrations, etc.? IV-111
21 1 Did the Leader hold a Team meeting at the end of the evening? IV-112
22 3 Did the Leader and the Team preserve Participant confidentiality among the Support Team? III-53 #2, IV-16
MAX:
% of
66 0 0 Compliance 0%
p. 5 of 8 KI Excellence Initiative 03/19/2011

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
XI. WEEKEND ACTIVITIES: SUNDAY
1 3 Did Team member hosts greet Participants appropriately upon arrival? IV-113
2 3 Was the morning chapel program conducted per the script? IV-113
3 4 Was the Meditation to Heal Past Memories given by a clergy according to the script? IV-116/126
4 2 Was this meditation conducted in the chapel atmosphere? IV-113
5 2 Did the Music Team lead the song Sanctuary immediately after the meditation? IV-113
6 4 Did speaker forThe Rooster Story cover the essential points and stay within time limits? IV-127/128
7 2 WasThe Rooster Story conducted in the chapel atmosphere? IV-113
8 1 Was the discussion for both meditations conducted in the Community Room? IV-113
9 4 Did speaker forObstacles to Accepting God's Grace talk cover essential points and within time limits? IV-129/133
10 4 Did speaker for theWalking in God's Grace talk cover essential points and within time limits? IV-134/141
11 4 Did Weekend Leader's talk Hang in There cover essential points and within time limits? IV-142/147
12 3 Was the Prayer & Share simulation breakout conducted properly? IV-145
13 3 Were Family Affirmation Prayer Circles conducted according to the Program Manual? IV-146/147
14 2 Did the Participants prepare agape posters per the Building the Body exercise? IV-114
15 2 Did the Leader give the Final Talk? IV-148/150
16 1 Were crosses distributed to Weekend Participants in a Cross Ceremony? IV-151
MAX:
% of
44 0 0 Compliance 0%
p. 6 of 8 KI Excellence Initiative 03/19/2011

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
XII. WEEKEND ACTIVITIES: CLOSING
1 4 Did the Advising Leader greet Outside guests to review proper procedures for Closing? III-51; IV-115
2 4 Did the Advising Leader greet Resident Community to review proper procedures for Closing?
3 2 Were Free-world guests in attendance at the Closing? IV-115
4 3 Did a KO representative speak at Closing? IV-153; III-51
5 4 Was a physical "separation" maintained between Free-world guests and Residents (start to finish)? III-51/52
6 3 Were Participants given an opportunity to share their responses to the three questions? IV-152
7 1 Did the Leader introduce distinguished guests? IV-153
8 3 Did a graduate from a previous Kairos Weekend give the 4th Day address? IV-153
9 2 Was the Chaplain invited to make remarks? IV-153
MAX:
% of
26 0 0 Compliance 0%
XIII. POST WEEKEND ACTIVITIES: THE CONTINUING MINISTRY
1 3 Did Leader conduct the Instructional Reunion according to the script? V-1/35
2 1 Was the Instructional Reunion completed within the necessary timeframe? V-5
3 4 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-24
5 3 Are previous Monthly Reunions conducted in a way consistent w/ Program Manual requirements? VI-19/21
6 4 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:
% of
22 0 0 Compliance 0%
p. 7 of 8 KI Excellence Initiative 03/19/2011

Institutional Name: ___________________________
Date: ______________________
Kairos Inside Excellence Initiative
Checklist
WL: ___________________________
AL: ___________________________
KAIROS INSIDE EXCELLENCE INITIATIVE CHECK LIST TALLY SHEET
SCORING THE COMPLIANCE CHECKLIST:
AREA MAX
SCORE
REMARKS IF NECESSARY Actual %
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 26
0%
XIII 22
0%
SIGNED: __________________________________________________________________________________________ _____________
State Chair or Designee
DATE:
PRINTED:
_________________________________________________________________________________
p. 8 of 8 KI Excellence Initiative 03/19/2011