N.Y. Comp. Codes R. & Regs. tit. 7, § 1800.9 – Inmate agreement.

(a) Prior to being transferred to a shock incarceration correctional facility, each participating inmate will sign an agreement, specifying the terms and conditions of participation in the shock incarceration program. This agreement is provided for in subdivision (b) of this section.
(b) Memo of agreement.
Shock Incarceration Program
Memo of Agreement
Name Facility DIN
1. As authorized pursuant to Correction Law, article 26-A, I agree to participate in the Department of Correctional Services Shock Incarceration Program. This agreement is made voluntarily and without coercion.
2. I understand the Shock Incarceration Program is a six-month discipline and treatment-oriented program. The activities involve intensive instructions in military bearing, courtesy, drills, physical exercise, network training, intensified structured work program, substance and alcohol counseling and structured educational programming. From the outset, I am required to practice good grooming and personal hygiene habits.
3. I promise that I shall abide by all the conditions specified in this agreement and all other conditions and instructions given to me by any representative of the Department of Correctional Services and will be subject to removal from the program for failure to do so.
4. I understand that during this six-month period, I will wear only a uniform provided for me. Other civilian clothing and jewelry will not be permitted.
5. Packages will not be permitted and personal property will be limited, in accordance with Shock Incarceration rules.
6. Visits, telephone, religious services, commissary privileges and recreational activities will be limited.
7. I agree to abide by all rules of the Shock Incarceration Facility. I understand that strict discipline will be exercised at all times and that failure to comply with such rules will result in my removal from the Shock Incarceration Program.
8. I understand that at any time during the six-month shock incarceration period, I may voluntarily request removal from the program and that I will be transferred to a general confinement correctional facility to continue my court-imposed sentence.
9. I agree that I will not apply to participate in any other correctional program during the six-month shock incarceration program period.
10. If additional criminal charges are lodged against me, I agree that I may be removed from the program in the discretion of the Department of Correctional Services.
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