Kokopelli Group Home, LLC
Transcription
Kokopelli Group Home, LLC
Kokopelli Group Home, LLC Participant Packet Table of Contents Rules at a Glance-A quick synopsis of our rules. Not the complete set. The Program Participant Agreement. You will accept and sign this agreement. Your Manager has the Kokopelli Copy, This is your Copy. Instructions for Life. A 2 page document that has informative maps and locations. Note: Paz de Cristo currently does provide a voucher for you to get your State ID. You must be at their Office by 1:00 PM on Tuesday. You can get your ID on Wednesday. We suggest you be early. Meeting Tracking Form. This is to be turned into your Manager each Friday. The Manager will copy and return to you. Kokopelli Management will review. My Budget Plan. This is a tool you can use to track your budget so you can be more efficient with your finances. If you claim you cannot pay your fees, this document will be the first step to review your finances. Keep this form handy, because you may need it. This is to be turned into your Manager each Friday, until you get a job. The Manager will copy and return to you. Kokopelli Management will review. My Day Timer. This is another tool to help develop your time keeping skills. If you are wasting your time this will be a great tool for you to use to bring your time into a more reasonable point and may just give you a good measure on your productivity. This is to be turned into your Manager each Friday, until you get a job. The Manager will copy and return to you. Kokopelli Management will review. Goals and Objectives. We all need to identify Goals and then find how we can meet those Goals through Objectives. Most employers use this tool for the annual reviews. . Job Search Report. If you are unemployed, then this tool is a requirement. You may be requested by your manager to provide this form. The form will be copied and returned right away. This is to be turned into your Manager each Friday, until you get a job. The Manager will copy and return to you. Kokopelli Management will review. Kokopelli Clothing Boutique. This is a very good place to get some clothes. No payment is required, but donations are accepted. Many people have taken advantage of the Boutique and returned later to make a donation, when they get financially stable. Letter. Kokopelli refers to this as the DES and all purpose Letter. KEEP IT. Take it to DES. It has everything they need to process your DES application. Have your Manager fill out the Letter and SIGN IT. Jobs List-This is a comprehensive list of Employers that have hired Kokopelli Program Participants. Food Box List-This is a listing of potential Food Box Organizations. Call First. Not Included with the Participant Packet, but available is the Reduced Fare Bus Application. If you need this, then request the Manager print it and complete the application. Kokopelli Management will then sign it when they make the weekly rounds. The Valley Metro Application fee is $5.00. You will take the package to their office, as indicated on the Application Package. The advantage of the Reduced Fare is 50% off the retail price of the Bus Passes. The monthly Bus Pass is the most economical fare. Until you receive the Reduced Fare ID Card, you must pay Full Fare. There are heavy fines if you try to cheat the system, and your PO will be notified by the Valley Metro Security. KokopelliGroupHomeParticipantPacketTOC Kokopelli Group Home, LLC Rules at a glance. To be complemented by the full agreement. Any criminal activity (on or off the facility) is not acceptable and will result in discharge. If you have a warrant from a legal authority, you must disclose this information immediately. NO ALCOHOL OR CONTROLLED SUBSTANCES are permitted while you are in our program. All medications, including pain pills, psych meds, aspirin, Advil, cold, flu, sinus, etc. must be disclosed to Kokopelli. Kokopelli can test any Program Participant at any time for alcohol or controlled substances. Television, Computer, Radio, and Telephone are for you and the other Program Participants to enjoy, and must be acceptable by the other Program Participant's. Do not have the noise levels loud to disturb the other program participants and limit your use so other participants can enjoy. NO FIGHTING, THREATENING, or COMMITTING VIOLENCE against another. STEALING AND LYING will not be tolerated. Go get a Job and Food Box. VANDALISM AND INTENTIONAL PROPERTY DAMAGE will not be tolerated ALL PROGRAM PARTICIPANTS MUST SIGN OUT AND SIGN IN. It does not matter if you are on parole, probation or not. ALL Visitors and Guests must register with the Manager and Sign In / Out, before access. FAILING TO COME TO THE PROGRAM FACILITY WITHOUT NOTICE IS A DIRECT VIOLATION. KOKOPELLI MAY ISSUE A PASS for extended absence. Fees must be paid, the pass must be approved in advance and be on file with Kokopelli. Your Legal Supervisor (Parole/Probation Officer) must also Approve all Passes. Final approval by Kokopelli Management is required. THERE IS A CURFEW THAT MUST BE ADHERED TO and is recommended by the local authorities. Additional curfew restrictions may apply. You must have a curfew extension if you work late or have a unique situation requiring you to stay out past the curfew. THERE ARE NO FIRES OR SMOKING IN THE FACILITY. NO ADDITIONAL APPLIANCES ARE PERMITTED IN THE ROOMS. No program participant is permitted to enter the area of another program participant. All vehicles must be in running condition and have current registration and proof of insurance. YOU ARE EXPECTED TO HELP WITH GENERAL HOUSEHOLD UPKEEP AND CLEANING. This includes cleaning up after yourself and doing the ASSIGNED CHORES. Maintain good personal hygiene. Only current paid Program Participants are permitted use of the Telephone and Computer. All Kokopelli Group Home, LLC Program Participants must have a job or work community service. No Participant is permitted to stay at the house and become sedentary. You must review your integration or recovery program with the house manager at least one (1) time per week. Kokopelli Group Home, LLC requires a minimum of a one (1) week (7 Days) written notice to leave the program. If you do not the Deposit may be Forfeited. If your Legal Supervisor gives you permission to Leave the Program, you should take the 1 week notice in account. Limit your personal property to what will be accommodated by your assigned area. Secure your valuables. Your property is your responsibility and if you do not assume that responsibility then any loss is your burden. Kokopelli Group Home, LLC nor its agents are responsible for any loss or damage to your property. Kokopelli_Group_Home-Rules_at_a_Glance 7/26/2012 KOKOPELLI GROUP HOME, LLC. PROGRAM PARTICIPANT AGREEMENT By this agreement, made and entered into on _________________________________________[date], between _________________________________________, referred to as “program participant,” and Kokopelli Group Home, LLC (KGH) aka Kokopelli Recovery Program, demises and permits to Program Participant by KGH, the Admission to a Program solely for the purpose of transitioning into society and advanced recovery from an alcohol or substance abuse located at a facility known as Kokopelli Group Home, LLC, in Mesa, Maricopa County, Arizona. This is not an agreement for occupancy or tenancy. The facilities are solely for the purpose of a transitional recovery program service for the participant, to be used by program participant during the period the participant is allowed in the transitional recovery program and for no other use or purpose whatever, for a term of a minimum of 90 days beginning on _________________________________________ [date] at a program fee of $130.00 per week (plus any applicable taxes or surcharges), or $563.34 per month (plus any applicable taxes or surcharges), or prorated at $18.58 (plus any applicable taxes) per day if necessary, payable in advance, during the entire term of this agreement, to KGH in Mesa, Maricopa County, Arizona, or to any other person or agent and at any other time or place that KGH may designate. Program participation is Friday through Thursday. If the Participant begins the Program on a day prior to Friday, the Program Fee will be prorated to Friday. The Program Fee is due on each Friday or, the first day of the month if paid monthly, by 8:00 pm, unless prior arrangements are approved by KGH. The normal week is from Friday to Thursday. Any payments after that time will be considered delinquent and a late fee of up to five percent (5%) per day or termination of this agreement may apply. All payments are to be by “Money Order”, with the Payee designated as “Kokopelli Group Home, LLC”. Kokopelli does not accept Personal Checks or Cash. All Participants are required to complete the Kokopelli Budget Form, Day Timer, and Job Search Form, to turn into the Manager, on a weekly basis, until they have a full time job. You are also required to have the Meeting form completed and signed to turn into the Manager on a weekly basis. Participants that get behind in the Program Service Fees will be required to provide the Manager with their Pay Stub, and may be required to accept a Power of Attorney to have their paychecks turned over to Kokopelli Group Home, LLC and a budget amount will be administered to the Participant, until the Program Service Fees and Security Deposit are paid in full. If the Participant refuses to accept the Power of Attorney, then this agreement is automatically terminated and the Participant must leave the Program immediately. Kokopelli Group Home, LLC can only accept persons that are American with Disabilities Act (ADA) Qualified and are fully ambulatory. Kokopelli cannot accept non-ambulatory individuals, all individuals must be capable of self-preservation and selfevacuation in the case of an emergency. It is further mutually agreed between the parties as follows: SECURITY DEPOSIT On the execution of this agreement, program participant deposits with KGH $130.00, receipt of which is acknowledged by KGH, as security for the faithful performance by program participant of the terms of this agreement, to be returned to program participant, without interest, on the full and faithful performance by program participant of the provisions of this agreement. The Participant must clean the bedding and room area, and insure that all Kokopelli Property is accounted for. The Security Deposit is not the last program fee payment amount and will be returned after all Kokopelli property is accounted for, including all bedding, hangers and other property. The bedding must be cleaned, the bed made, and the room in clean condition when the participant leaves the program, after the 90 day commitment. The deposit is not refundable if you relapse, detained by a legal authority, discharged for violating the rules, or do not fulfill the commitment. KGH requires one week (7 days) written notice. by the program participant to leave the program or the security deposit is forfeited. This Security Deposit of $130.00 is in addition to the monthly Program Fee. TERMINATION OF AGREEMENT The Program Participant shall abide by all rules and policies of Kokopelli Group Home, LLC. If the Program Participant violates these rules and policies then the Program Participant agreement is subject to termination and the time is expired, immediately. The Program Participant agrees that upon termination of this agreement to immediately vacate the premises of Kokopelli Group Home, LLC and remove the Program Participant’s personal property immediately. All Kokopelli Group Home, LLC property is to remain on the premises and unauthorized removal of Kokopelli Group Home, LLC property is considered a violation of the prevailing laws of Arizona. The Program Participant agrees that the Recovery Program is a service and is not an occupancy or tenancy agreement and therefore the Program Participant has no rights under the Arizona Landlord Tennant Act (Arizona Revised Statutes Title 33, Chapter 10) or any other provisions for occupancy or tenancy. If this agreement is terminated by Kokopelli Group Home, LLC, the time is expired and the Program Participant must vacate the facilities immediately or be in violation of ARS 13-1504 Criminal Trespass in the First Degree or 13-1502 Criminal Trespass in the Third Degree or both. Any supervisory authority will be notified immediately of the termination and discharge. You are responsible to immediately process a mail forwarding with the US Postal Service upon the Termination of the Agreement. Kokopelli will not hold mail, all mail will be “Returned To Sender”. ASSIGNMENT AND SUBLETTING Program participant shall not assign this agreement to another person. There is no subletting as the Kokopelli Recovery Home is not a rental, but a service to assist the program participants to transition into the community and continue in their recovery. ENTRY FOR INSPECTION, REPAIRS, AND ALTERATIONS KGH shall have the right to enter any area of the Kokopelli Group Home, LLC facility and all rooms therein for inspection at all reasonable hours and whenever necessary to inspect, make repairs, alterations or clean of the Kokopelli Home facility. UTILITIES/SERVICES Electricity, gas, telephone service, digital antennae, cable or satellite TV, and other utilities are furnished as a part of this agreement. Any issues with any service will be resolved by Kokopelli Group Home, LLC. You are expected to conserve the resources. Do not open any windows or block any doors open, without the notification and approval of the manager or Kokopelli Management. There are to be no long distance phone calls or acceptance of collect calls. There is to be no pay television programs. The laundry facilities are to be __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 1 of 8 © 2004-2013 Kokopelli Group Home, LLC conserved/ Use only the proper amount of High-Efficiency (HE) liquid detergent (only liquid detergent is permitted at all Kokopelli Facilities), proper washing machine setting, and use the “clothes line” for drying your clothes, whenever possible. Note: The Dryer will become coin operated at the facility to encourage using the free Clothes Line. You must take reasonable length showers and not run the water for lengthy periods of time. Any violation of this conservation effort may result in having services restricted or termination of this Agreement. FURNISHINGS Refrigerator, washer, dryer (clothes line), couches, chairs, dining table, toaster, bed, chest, television, computer, and other furnishings are a part of this agreement. No furnishing is to be added or moved without the express permission of Kokopelli Group Home, LLC. There is to be no personal refrigerators, heaters, heating blankets/pads, etc. in the rooms. Personal small fans and small TV’s are permitted and are to be turned off when not in the room. Any damage to the furnishings will be assessed. Do fold your clothes and do not overfill the dresser drawers. Place all dirty clothes in a laundry basket or bag. Do Not place your clothes loose on the floor and no property is permitted under the bed. You can acquire a plastic bin that can be sealed to store your property. Do not place uncovered food in the refrigerator, your assigned area or other shelves. There are Tower Fans placed in strategic locations. You are NOT permitted to move them to your personal area or any other location. REPAIRS, REDECORATION, OR ALTERATIONS KGH shall be responsible for repairs to the interior & exterior of the Kokopelli Group Home, LLC facility, provided, however, repairs required through damage caused by program participant shall be charged to program participant as an additional surcharge. It is agreed that program participant will not make or permit to be made any additions, improvements, or facility changes. ANIMALS Program participant shall keep no domestic or other animals (aka pets, dogs, cats, birds, fish, lizards, etc.) in or about the facility or on the premises. This means that no pets are allowed on the premises at any time. This policy excludes qualified Service Dogs, per HUD definitions. WASTE, NUISANCE, OR UNLAWFUL USE Program participant agrees that he will not commit waste on the premises, or maintain or permit to be maintained a nuisance on the premises, or use or permit the premises to be used in an unlawful manner. Any bug infestation must be addressed immediately. Kokopelli has provided each facility with the components to combat these conditions. The program participant is expected to cooperate in the elimination of the pests. Kokopelli did not bring in the pests, a participant probably did. The program participant further agrees to abide by all sections of this agreement, clean up after themselves, and perform the assigned Chore List as a part of the agreement. PARKING SPACE Program participants use parking space on a first come- first served basis, No Reserved Spaces. The vehicle must be properly licensed and insured. Kokopelli must have a copy of your current registration and verify insurance. If you are restrained from operating a vehicle, you must inform Kokopelli Group Home, LLC of this restraint and provide proof of reinstatement prior to your operating any vehicle and keeping the vehicle on KGH Property. PROGRAM PARTICIPANT RIGHTS You may submit grievances without restraint or retaliation and have grievances considered in a fair, timely, and impartial manner. If you are discharged for a flagrant violation, your request will be reviewed and a decision rendered within 72 hours of Kokopelli receiving the written grievance. Your information and records will be kept confidential to Kokopelli Group Home, LLC Management. You will have the right to have privacy in correspondence, communication, visitation, and financial affairs. You have the right to review your own information record. You will be free from abuse and exploitation. You may associate with individuals of the Program Participant’s choice, receive registered visitors, and make telephone calls during the hours established by Kokopelli Group Home, LLC as outlined and described in this agreement. Note: All visitors are required to be approved by Management, register and sign in and to follow the same guidelines as outlined in this agreement. No visitor is permitted the use of Kokopelli facilities (i.e., Computer, phone, etc.). If any visitor is under legal supervision, they must immediately disclose this information to Kokopelli Group Home, LLC management and are not permitted on the premises as that presence is a violation of the supervisory authority. If a visitor is found not to be in compliance with this agreement, the visitor will be discharged from the facility, and further action may result in Criminal Trespass Complaint being filed with the police department. DEFAULT If program participant defaults in the payment of program fees or any part of the program fees at the times specified above, or if program participant defaults in the performance of or compliance with any other term or condition of this program agreement or of the regulations attached to and made a part of this agreement, which regulations shall be subject to occasional amendment or addition by KGH, the agreement, at the option of KGH, shall terminate and be forfeited, and KGH may reenter the facility premises and retake possession and recover damages, including costs and attorney fees. Program participant shall be given verbal or written notice of any default or breach. Termination and forfeiture of the agreement shall not result if, within one (1) day of receipt of such notice, program participant has corrected the default or breach or has taken action reasonably likely to effect correction within a reasonable time. If the program participant is late in paying the program fee, there is up to a five percent (5%) per day late charge or termination of this agreement. The program participant must make arrangements with the KGH to continue the program past the 3 day time period. Any default will forfeit the deposit to the benefit of KGH and may terminate this agreement. If there is a temporary short term situation that you need an “approved” Payment Plan, the late fee is not waived and the late payment is considered Delinquent and due immediately. DESTRUCTION OF FACILITY AND EMINENT DOMAIN In the event the facility is destroyed or rendered unusable by fire, storm, or earthquake, or other casualty not caused by the negligence of program participant, or if the premises are taken by eminent domain, this agreement shall be at an end from such time except for the __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 2 of 8 © 2004-2013 Kokopelli Group Home, LLC purpose of enforcing rights that may have then accrued under this agreement. The program participant may transfer to another KGH facility to continue in the recovery program, if available. The program participation shall then be accounted for between KGH and program participant up to the time of such injury or destruction or taking of the facility, program participant paying up to such date and KGH refunding the program fee collected beyond such date. Should a part only of the facility be destroyed or rendered unusable by fire, storm, earthquake, or other casualty not caused by the negligence of program participant, the program shall abate in the proportion that the injured part bears to the whole program premises. The part so injured shall be restored by KGH as speedily as practicable, after which the full program fee shall recommence and the agreement continue according to its terms. Any condemnation award concerning the premises shall belong exclusively to KGH. PEST CONTROL Per Arizona Revised Statute 33-1319, the Program Participant will not knowingly move materials into a Kokopelli Group Home, LLC facility that is infested with bedbugs or any other pests. A Program Participant who knows of the presence of bedbugs or other pests shall provide Kokopelli Group Home, LLC. and the facility manager written or electronic notification of the presence of bedbugs or other pests. The Quality Control Manager shall have unlimited access to the Participant’s area and property for the purpose of detecting the presence of bedbugs or other pests. The Program Participant will abide by the Kokopelli Bedbug and Pest Inspection and Treatment Program posted in the Common area in the facility and will assist in the elimination of any pests. New Program Participants are to insure their property is free of any pests prior to bringing into the facility. All Participants are to inspect their bedding, dressers and clothing on a continual basis. Weekly the bedding should be removed, inspected. Any tears in the plastic wrap must be repaired and the inspected bedding replaced. The participants and property are to be inspected for pests each time they enter the facility. Any pests must be reported to the manager immediately, in writing. Pest infestation is a serious issue and any participant that does not comply will be discharged immediately. CRIME FREE PROGRAM PARTICIPANT AGREEMENT In consideration of the execution of a program participation agreement of the Kokopelli Group Home, LLC Program Participant Agreement, Kokopelli Group Home, LLC and program participant agree as follows: 1. Program participant, any members of the program participant's household or a guest or other person under the program participant's control shall not engage in criminal activity, including drug related criminal activity, on or near the said premises. "Drug related criminal activity" means the illegal manufacture, sale, distribution, use, or possession with intent to manufacture, sell, distribute, or use of a controlled substance (as defined in Section 102 or the Controlled Substance Act (21 U.S. C. 802)). 2. Program participant, any member of the program participant's household or a guest or other person under the program participant's control shall not engage in any act intended to facilitate criminal activity, including drug related criminal activity, regardless of whether the individual engaging in such activity is a member of the household, or a guest. 3. Program participant or members of the household will not permit the dwelling unit to be used for, or to facilitate criminal activity, including drug related criminal activity, regardless or whether the individual engaging in such activity is a member of the household, or a guest. 4. Program participant, and member of the program participant's household, or a guest or another person under the program participant's control shall not engage in the unlawful manufacturing selling, using, storing, or giving of a controlled substance as defined in A.R S. 13-3451, at any locations, whether on or near the dwelling unit premises or otherwise. 5. Program participant, any member of the program participant's household, or a guest or another person under the program participant's control shall not engage in any illegal activity, including prostitution as defined, in A.RS. 13-3211, criminal street gang activity as defined in A.R.S 13-105 and 13-2308, threatening or intimidating as prohibited in A.R.S. 13-1202, assault as prohibited in A.RS. 13-1203 including but not limited to the unlawful discharge of firearms, on or near the dwelling unit premises, or any breach of the program participant agreement that otherwise jeopardizes the health, safety and welfare of the Kokopelli Group Home, LLC or other program participant or involving imminent or actual serious property damage. 6. VIOLATION OF THE ABOVE PROVISIONS SHALL BE A MATERIAL AND IRREPARABLE VIOLATION OF THIS AGREEMENT AND GOOD CAUSE FOR IMMEDIATE TERMINATION OF THE PROGRAM. A single violation of any of the provisions of this added addendum shall be deemed a serious violation and a material and irreparable non-compliance. It is understood that a single violation shall be good cause for immediate termination of the agreement. Unless otherwise provided by law, proof of violation shall not require criminal conviction, but shall be by a preponderance of the evidence. 7. In case of conflict between the provisions of this agreement and any other provisions of the program participant addendums, the provisions of this agreement shall govern. If you have conditions ordered by a legal entity, you must provide a copy of those conditions to Kokopelli Group Home, LLC. 8. This CRIME FREE PROGRAM PARTICIPANT AGREEMENT SECTION is incorporated into the PROGRAM PARTICIPANT AGREEMENT executed or renewed this day between Kokopelli Group Home, LLC, Program Participant, and the Mesa Police Department. KOKOPELLI GROUP HOME, LLC FACILITY RULES The purpose of the Kokopelli Group Home, LLC is to provide a safe and healthy environment to participate in a clean and sober transitional recovery program, and achieve a self-fulfilling lifestyle. The following rules are necessary to achieve this purpose and still promote personal responsibility: There are "Flagrant Violations" that can result in IMMEDIATE termination of Program Participation at the Kokopelli Group Home, LLC. Reporting violations to any of these rules to Kokopelli Management, is required. You may report the incidents by verbal or written notification. A method to notify Kokopelli Group Home, LLC of a violation is sending the Administrator a message on the Registry computer. Please enter the Facility Name so we will know where to perform an investigation. If you know of a violation and do not report the violation, you become an accessory to the violation, and therefore may suffer consequences. These rules are in effect to comply with the City of Mesa and to maintain a safe recovery home. __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 3 of 8 © 2004-2013 Kokopelli Group Home, LLC Violating the Crime Free Agreement Section is reason for Immediate Termination of the program. This agreement will be Rigidly Enforced. If you have a warrant from a legal authority, you must disclose this information immediately to Kokopelli Group Home, LLC. You are required to check with any potential jurisdictions to determine your legal status. If the warrant is for a fine that you have not paid, then you must make payment arrangements with the legal authority. No Alcohol or Controlled Substances are permitted on the premises, inside or outside. If you have a prescription for a drug, you must disclose to the Kokopelli Group Home, LLC management with proof of the prescription. If the prescription is to be dispensed and you would like the prescription controlled, please discuss and arrange with Kokopelli Group Home, LLC management. All information will be documented to eliminate any misunderstandings. If you bring alcohol or a controlled substance on the facility, expect to pack your belongings and leave the Kokopelli Group Home, LLC Program immediately. If you are aware of someone violating this rule, you are expected to report the incident to Kokopelli Management. All medications, including pain pills, psych meds, aspirin, Advil, cold, flu, sinus, etc. must be disclosed at intake and during the program participation. All medications will be kept, and secured (preferably in a lockbox). All medications must be dispensed according to the instructions on the prescription bottle. There is to be no alteration of the medication for consumption. Any Rx or "over the counter" medications that have unreadable labels will be disposed of. Failure to disclose medications during intake or during your continued program participation will cause you to be discharged. If you over medicate you may be required to go to a detoxification center or medical facility until you are at a normal status, and released by a medical attendant. Kokopelli may then determine your return into the Kokopelli Program. You will be required to attend substance abuse or other related counseling and provide KGH proof of attendance. A medical release form may be required for some cases where the medications appear to be excessive. Kokopelli can test any Program Participant at any time for alcohol or controlled substances. Any substance that is suspected to be hallucinogenic, whether legal or not, is not permitted at Kokopelli. This includes “Spice”, Marijuana and such medications as opiates. If someone in the program feels you are using or misusing, we may test you, unless it is obvious, and we may inspect your property. Kokopelli will always ask you if you have been using. If you affirm, then we will recommend you go to the detox center. If you refuse, we will dismiss you from the Program. If you deny then we will test you with a $20.00 fee up front. If you test positive you will owe us the cost for each test and you must go to a detoxification center or be discharged. If you are negative then you will not owe the fee and the issue is closed. In any case the test should be viewed as a positive resolution, not a negative issue. All program participants and staff are subject to random breath and urine tests. Refusal to test is subject to immediate Program termination. Television, Computer, Radio and other entertainment are for you and the other Program Participants to enjoy, and must be acceptable by the other Program Participant's. Do not have the noise levels loud to disturb the other program participants. Do not Hog the TV Programming. When your program is complete, let another Participant select the program If you are requested to lower the noise level, you must do so immediately. You might need to get a pair of headphones for your personal enjoyment if the noise disturbs other program participants. In general, these noises should not be permitted beyond 30 minutes past the curfew and should remain off until the next day at a reasonable time but Kokopelli Group Home, LLC's management may approve if it does not disturb the other Program Participants. This rule includes the Kitchen and other common area usage. You may have a personal TV, computer, radio or other entertainment, provided you follow the rules and policies within this paragraph. The rooms are prewired for a digital signal for TV’s. If you have an older analog TV, you will need to acquire a Digital to Analog converter. Newer digital TV’s can connect without issue. There will be no loud music played inside or outside, abusive noise, or obscene language or gestures inside or outside the Kokopelli Facility at any time. If you are not working, then the Computer, TV and radio is off limits. You will not be allowed to sit at the house and watch TV while you are not employed or performing community service. NO FIGHTING, THREATENING, or COMMITTING VIOLENCE against another. If there is a dispute, bring to Kokopelli Group Home, LLC's attention. All disputes will be resolved, PEACEFULLY. If you violate this rule, you will be dismissed immediately. Stealing will not be tolerated. This includes any KGH or other participant’s property and food. Stealing is grounds for IMMEDIATE Termination of the Program Agreement. If you have valuables or money, you are responsible to secure your property. Kokopelli is not responsible for your personal property. If you need food, do not steal it. You can get over to a food box location almost every day and get a food box. All you have to do is get up and go get it. Lying will not be tolerated. Lies found on your intake paperwork or otherwise during the course of your Program Participation are grounds for IMMEDIATE Termination of the Program Agreement. Vandalism and intentional property damage will not be tolerated, and is grounds for IMMEDIATE Termination of the Program Agreement. Nothing is permitted to be placed on the walls or ceilings (taped, stapled, or nailed). There are no markings of any kind to be made on the walls or ceilings. There may be a bulletin board/marker board for each program participant. All decorations must be approved by the Kokopelli Group Home, LLC and if they become fixed to the facility, they are to become the property of Kokopelli Group Home, LLC. Any criminal activity (on or off the facility) is not acceptable, and is grounds for IMMEDIATE Termination of the Program Agreement. Signing Out and In (Registry Workstation)- All program participants must sign out and sign in. This rule must be applied to all program participants whether or not they are on legal supervision. The time signed out (including AM or PM), intended location, expected return time (including AM or PM), and actual return time, when you get back, must be completed. If you are going to be returning beyond your expected return time, you must call the manager to inform of the new return time. The __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 4 of 8 © 2004-2013 Kokopelli Group Home, LLC manager must approve this return time. This condition is absolute to maintain accountability. No Exceptions. Forgetting to Sign In or Out is not an excuse, and is a Dischargeable offense. Your location is important to be accurate. If you sign out for family it should be for a relative, not a friend. Messages are on the Registry Workstation. You must read your Messages. They provide valuable information. Failing to return to the program facility without notice is a direct violation, and is grounds for IMMEDIATE Termination of the Program Agreement. If you are detained in a medical facility or a law enforcement facility, you must provide proof of the detention when you return. You must also make all efforts to contact Kokopelli Group Home, LLC to notify of the detaining. There is a curfew that must be adhered to: Sunday through Thursday 10:00 pm. Note: 8:00 PM for new Participants for the first week. 8:00 PM if the Program Fee and Security Deposit is not current, or Not Working. Normal departure time is no earlier than 4:00 AM daily for the purpose of curfew, and for work only. Friday and Saturday 12:00 am. Note: 8:00 PM for new Participants for the first week. 8:00 PM if the Program Fee and Security Deposit is not current, or Not Working. • If the curfew is not adhered to, then this agreement is subject to immediate termination. You must insure that you have the ability to return to the Kokopelli facility in a timely manner before you leave the facility. If you do not have a return plan and do not return by the expected time, you will be in violation of this agreement. • You must make prior arrangements with Kokopelli Group Home, LLC management and any Legal Supervision for any extended absences. If you must be away from the facility for more than 12 hours, or beyond the curfew, you must notify Kokopelli Group Home, LLC, your Legal Supervision, and be approved, not by just calling and leaving a message. All arrangements will be documented to eliminate any misunderstandings. • Curfew can be changed on a case by case basis. After 30 days participation, an overnight pass may be requested. If you have been released from prison or jail and your family is not from the area, one 24 hour pass may be requested with your Legal Supervisors written permission to Kokopelli. The first pass is limited to 24 hours. Future requests may be made for up to 48 hours. There may not be more than three (3) overnight passes per month. You must leave a contact number and your assigned chore must be completed before leaving on any overnight pass. If you have a job that the work hours are beyond the curfew hours, then a Curfew Extension request must be completed and approved by Kokopelli Group Home, LLC management. Note: All passes and curfew extensions must be pre-approved by the applicable parole, probation, legal supervision and Kokopelli Management. There are no exceptions even if not on active legal supervision. If you are not working, your curfew is 8:00 PM daily. You must also perform Community Service, curb the TV access during the day. A Kokopelli Job Search form will be required to submit to the Manager on a weekly basis. There are no Fires or Smoking in the Facility. This includes candles, incense, and smoking anywhere in the house. Smoking is permitted on the Back Patio no closer than 10 feet from the door entrances. The Ash Trays must be used; no cigarette butts or other tobacco products are to be thrown or discharged in the yard. No program participant is permitted to enter the area of another program participant unless accompanied by another program participant occupying that room, and notification to the Developmental Advocate. Other than the Developmental Advocate, being in another program participant’s area is grounds for immediate termination of the program agreement. Rooms with Kokopelli installed key locks. Selected Kokopelli rooms have key locks. These are special keys that only you and your roommate have (The manager has a complete set in case of emergency). The doors can only be locked from the exterior. You must carry your key with you and not lock the room unless you have verified that your roommate has the key. There is a $5.00 deposit for the key, which will be returned when the key is returned to Kokopelli. All room occupants must have paid the key deposit, if not, then no key can be issued to the participant. If you are locked out of your room then you must wait for the manager or your roommate to open the door. Do NOT make a forced entry No keys will be issued to anyone who is not current with the Program Fees and the privilege may be revoked. There are no weapons of any kind, including simulated weapons or religious items, are permitted on the Kokopelli Group Home, LLC facility. This is grounds for immediate termination of the Program Agreement. You must comply with any and all community and facility (Kokopelli Group Home, LLC) association Rules. Be a Good Neighbor. If you see a neighbor that may need help, please ask if you can help, and expect no more than gratitude in return. All vehicles must be in running condition and you must present current registration and proof of insurance for our files, or be immediately removed from the property. Any vehicle repairs must be minor, and the work area cleaned each day, if the repairs take more than one day. No extensive repairs are permitted on the facility or Public Street in the proximity of the facility. There is to be no car washing, or use of Kokopelli supplies to wash a car, on the KGH facility. You must use a local car wash facility, and your own supplies, or other location. All driving must be safe and courteous. All speed limits must be followed (The Neighborhood speed limit is 25MPH or less) Careless and reckless driving is not permitted. Violation of this could result in immediate termination of your Program Agreement. Littering on the Kokopelli Facility or surrounding neighborhood is not permitted. Put cigarette butts in the ashtrays that are provided, not on the ground. Do not put your cigarettes out on the building structure. Loitering around the Kokopelli facility or neighborhood is not permitted. This may cause concern for our neighbors, and you may be subjected to trespassing charges by the local authorities. Loitering in the front area is generally not permitted. We want to be good neighbors and not disturb our other neighbors. __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 5 of 8 © 2004-2013 Kokopelli Group Home, LLC You must be properly and appropriately dressed when you are outside of the Kokopelli Group Home, LLC facility. When inside the facility you must wear a shirt (pants or shorts too, not just undergarments) while in all common areas. Display of your boxer shorts is not permitted; keep your pants pulled up. If you are relaxing on a couch or chair, please put a towel behind your head. There is to be no eating of meals or snacks in the assigned rooms. All liquids must be clear (i.e., water) in the assigned rooms. Any colored liquids (i.e., coffee, tea, soda, etc.) must be consumed in the common areas (i.e., kitchen, living room, etc). Food storage in the assigned room must be in the original packaging or proper storage container. Be a Good Program Participant. Please consider your fellow program participants for all actions and activities. Clean up any messes you make, immediately, this includes dishes and cups. Keep your personal area and the facility clean and provide a quality environment for yourself and the other program participants. Be courteous and respect other program participants. Keep your use area neat and orderly, and make up your sleeping quarters every day. All dirty clothes are to be placed in a clothes hamper or plastic bag, and all trash picked up. No clothing is to be on the floor and all shoes must be in the closet, not under the bed. Use an air freshener if needed for your shoes and other unpleasant odors. You must sleep in your assigned space. Using any other space (i.e., couch, for sleeping is not permitted, as other participants may want to utilize that space for the intended activity (i.e., Watching TV). You are expected to help with general household upkeep and cleaning. You must check your bed, dresser, and room for any pests on a daily routine and resolve and report to management any issues immediately. Your room must be thoroughly cleaned on a regular basis. All clothing must be hung up or in the dresser. Laundry must be in a a Laundry Basket or bag not loose on the floor. Nothing placed under the bed, unless in a sealed heavy plastic storage bin. Chores will be assigned to each program participant. These chores must be performed and the Chore Sheet signed off DAILY.. Kokopelli Management may request additional cleaning. Refusal to clean up after yourself or do any assigned chore in a timely manner may result in termination of the program agreement. If you spill something you must clean it up immediately to equal or better than the condition it was. This includes you cleaning kitchen items immediately. Do not stare at the mess and walk away, clean it up. If you break something, Fix It or have someone who knows how, fix it. It’s all about being responsible. Maintain good personal hygiene. You are expected to be clean and take a shower regularly. Guests are permitted to visit at the facility in only the common areas and not in the program participant's use area. Guests must register with the Manager, be approved, and are required to present a valid picture ID (which may be copied and attached to the registration). If the visitor denies this process, then the visitor will be denied access and required to leave the facility premises immediately or be charged with Criminal Trespassing. All guests must Sign In and Out. Overnight guests are not permitted. In general a guest can visit for 3 hours, 2 times per week. Any longer or more frequent visitations must be approved by the Manager. The number of guests should be no more than 2 at a time for the Facility, and the guest(s) should be an occasional visitor, not a daily visitor . All guests that do visit are required to follow all rules and agreements that the program participant is obligated to follow. All guests must leave by the curfew time and not arrive prior to 7:00 AM. There are no exceptions. The program participant is responsible for any guest's actions and activities. This rule and policy is enforced to protect all Program Participants and the Kokopelli facility. Sexual or Pornographic activity is not permitted on the Kokopelli Group Home, LLC facility, including the computer. Tracking or Scanning Devices are not permitted in the Kokopelli Facilities. This includes any technology equipment such as police, fire or other emergency services tracking mechanisms to monitor emergency or government official’s activities. Telephone use. Only current paid Program Participants are permitted telephone use. Please limit your call length to 5 minutes and limit the number of calls. If someone is waiting to use the telephone, please make your call short so the other person can use the telephone. If another call comes in, you must “click over” and answer that call. If the call is for another program participant while you are on the phone, please ask if the call is urgent. If the call is urgent then let your party know and turn the phone over to the other program participant. If the call is not urgent, then please take a message for the program participant. The house phone is to remain in the interior common areas at all times. Do not take the phone outside or in your room. If you violate the phone use rule, you may be restricted from use of the phone. There are no telephones outside of the common areas permitted to be connected to the Kokopelli phone system. You may have a personal cell phone, but there are to be no phone usage (whether a personal cell phone or the facility phone) beyond the 30 minute curfew limitation. This rule is in effect to prevent disturbing other program participants, and is not to be violated or phone privileges will be suspended, and personal cell phone prohibited. Computer use. Only current paid Program Participants are permitted computer use. The computer is available for your personal use. There are training programs installed to help you learn how to use a computer. Please limit your use. If another program participant is waiting to use the computer, please complete the task you are doing and allow the other program participant to use the computer. There may be a sign-up sheet for the computer use. No pornographic, gaming, or illegal activity is permitted on the computer. The computer is for personal use, business use is NOT Permitted. There is to be NO downloading of music, documents, or video files without the express written authorization by the authors. This is in violation of Federal Laws (U.S. Digital Millennium Copyright Act). Printing should be limited to 2-5 pages per day. This is a privilege and will not be abused. Follow the computer usage rules. Do not give the User ID and Password to any other person. Violation of any computer rules will result in suspension of your computer access. The computer use is limited to only those Program Participants that are current with their fees and are not on restriction. You may have a personal computer, provided your Legal Supervisor approves in writing to Kokopelli, and the program fees are current, but there are to be no computer usage beyond the 30 minute curfew limitation. This rule is in effect to prevent disturbing other program participants, and is not to be violated or computer privileges will be suspended. You must get the Access __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 6 of 8 © 2004-2013 Kokopelli Group Home, LLC Codes from Kokopelli and have your Legal Supervisor provide Kokopelli permission for your Personal Computer. The computers are maintained after curfew and access may be unavailable. All information can be stored on a “DATA” designated drive (Normally Drive K). All other information may be removed during maintenance. KGH may install a tracking program to trace Internet access, by individual user, and store in a hidden file, by either general user or by a “logged” user. This information will be provided to the Legal Authorities upon request. Report Crime. If you see a possible criminal activity, please report to the police immediately and / or Kokopelli Group Home, LLC management. You may call as a Silent Witness if you are uncomfortable, but do report the criminal activity. New program participants may be required to attend the Kokopelli Asset Mapping and Substance Abuse Therapy beginning with the next available class, plus a minimum of three (3) meetings per week for the first 4 weeks and 1-2 meetings per week thereafter. Program participants should find a sponsor or support person (i.e., clergy) within 30 days. This is a minimum requirement. All meetings must be verifiable and a Meeting Form is provided in your packet to document the activity. Kokopelli will provide your Legal Supervisor with periodic reporting. New participants are expected to arrange for counseling at a behavioral health clinic. Continuing participants may also be requested to enroll in behavioral health clinics, as deemed necessary. Kokopelli may offer Moral Reconition Therapy (MRT) on a periodic basis. This counseling may have a fee for materials. Your Legal Supervisor will be notified of the class schedule and associated costs. All program participants may be “required” to attend a Kokopelli Group Home, LLC meeting as scheduled by the Kokopelli facility management. Refusal to attend these meetings without Management Approval may make the Participant subject to Dismissal, and termination of this agreement. All Kokopelli Group Home, LLC Program Participants must have a job or work community service. No Participant is permitted to stay at the house and become sedentary. You are required to be employed full time, and you are not permitted to quit a job without first discussing it with the house manager and Kokopelli Group Home, LLC, (employment status will be verified periodically). There are certain types of employment that are not allowed (i.e., cab driving, working in bars, clubs, or places that sell alcohol). You must speak with the KGH manager prior to accepting employment with any place. You are not permitted to stay at the facility if you are unemployed. You must actively seek employment and bring back proof of your Job Search and Day Timer activity to the KGH manager. If you become ill and claim that you cannot work or perform community service, proof will be required by Kokopelli Group Home, LLC management, and you may need to relocate to another program. You must continue to maintain the Program Fees as current. Illness or physical inability is not an excuse for not maintaining the Program Fee. Relocation to a charitable facility may be required. Any Kokopelli Group Home situation that requires police involvement must be discussed with the KGH manager and/or Kokopelli Group Home, LLC before the police are called, (any police involvement without KGH manager approval will be grounds for discharge). Any medical conditions and/or injuries must be brought to the attention of the KGH manager and/or Kokopelli Group Home, LLC. If there is an emergency, call 911, and then notify the KGH manager and/or Kokopelli Group Home, LLC immediately. There is no sharing of clothes, personal property, loaning money, borrowing vehicles, including automobiles and bikes by either staff or program participants permitted at any Kokopelli Group Home, LLC facility. Normally if you “loan” money, you just gave the person the money and you alone must accept the consequences. This rule is in effect to prevent issues for loss or damage to property. If someone needs money or cigarettes, then insist they work. You must review your integration or recovery program with the house manager at least one (1) time per week. This review does not count as a visit to discuss your program while paying the fees, unless the KGH manager chooses to do so. Kokopelli Management will review the weekly status to insure that you are in compliance with any conditions that may be in effect by either Kokopelli or the legal system. Kokopelli Group Home, LLC requires a minimum of a one (1) week (7 Days) written notice and you must clean your area and bedding, if you intend to leave the Recovery Program. Be responsible and courteous to us and others, and not just walk off your job or leave your program. This notice will insure the refund of your deposit and the best possible references for future programs. If you leave the facility without the required notice or there is a discharge for flagrant violation of this agreement or the rules there is no refund of the deposit. PERSONAL PROPERTY We are a recovery facility for those that desire to make a new start on their life. When you begin participating in our program you will probably bring your personal property with you. Please limit the property to what will be accommodated by your assigned area and put your identification on your property. If you have an extensive amount of property, you must make arrangements to have it stored at another location. Do not leave valuables unattended. This includes jewelry, money, laptops, cell phones, cameras, identification, bus passes, etc. Kokopelli is not responsible for your property, you are. If for some reason, your participation agreement is terminated, you relapse, or incarcerated and do not return to our facility, Kokopelli management will immediately pack your property and store it for a maximum of 30 days. You will be charged a packing, cleaning, and storage fee, to retrieve the property. If you decide to leave the Recovery Program, you are required to give KGH written notice so we can make arrangements for someone to fill your vacancy in our program. If you leave without notice you will be assessed for the day you left the facility and the security deposit will be forfeited. There is a packing fee of $20.00 or more, depending on the amount of property, and a minimum daily storage fee of $3.00 per day, beginning with the first day of storage, for any reason including relapse or arrest. You will also be assessed a fee for cleaning your area and bedding (approximately $10.00 or more). These fees must be paid prior to your claiming your personal property. If you do not claim your personal property within 30 days, then the property will be donated to a charity or other institution or agency. If any other fees are due to Kokopelli Group Home, LLC (i.e., Program Fees, etc) then those fees must be paid in full prior to your moving back into __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 7 of 8 © 2004-2013 Kokopelli Group Home, LLC a Kokopelli facility. We will attempt to collect from those fees via the legal system, if you do not make arrangements and keep the arrangements. We will also post the debt with a credit agency or on the Internet until the debt is paid in full. Kokopelli Group Home, LLC nor its agents are responsible for any loss or damage to your property. Your property is your responsibility to be removed immediately, and if you do not assume that responsibility then any loss is your burden. By signing this Program Participant Agreement I agree that Kokopelli Group Home, LLC is not responsible for my personal property. I will be responsible to pay any packing and storage fees before I can claim my property. BINDING EFFECT The covenants and conditions contained in this agreement shall apply to and bind the heirs, legal representatives, and assigns of the parties to this agreement, and all covenants are to be construed as conditions of this agreement. GOVERNING LAW It is agreed that this agreement shall be governed by, construed, and enforced in accordance with the laws of Arizona. A FINAL NOTE This is a Recovery Program service for assistance in “transitioning” into the community and for recovery from substance abuse, and not an agreement to occupy the facility and premises of Kokopelli Group Home, LLC. Our business is to provide a positive lifestyle program for you and other participants to become responsible, assume a positive role in society and recover from an addiction. This program includes you following our rules, regardless if you are on parole, probation or other court or legal status, and paying the applicable service fees. Kokopelli will require that you present valid identification to insure your identity. This identification Social Security, State ID, etc. must be visibly inspected and documented. If there is any refusal or the documentation is unacceptable, then you will not be permitted to remain in our program. Kokopelli also requires that you provide other information including Conditions of Parole/Probation (Including Business Cards), Contacts (Medical is required), Employment , Legal Status, Health Information, your contact access, verification of your legal status, etc. If you refuse or attempt to misinform Kokopelli then you will be subject to immediate discharge from the program. You must be serious to apply for participation in our program and agree to all terms and conditions. If you violate this agreement, the time is expired and the Program Participant must vacate the facility immediately or be in violation of ARS 13-1504 Criminal Trespass in the First Degree or 13-1502 Criminal Trespass in the Third Degree or both. I certify that I am ADA Handicapped Qualified, and I am fully ambulatory, and if I do become non-ambulatory I will notify Kokopelli Group Home, LLC immediately and relocate to a facility that does maintain ADA non-ambulatory compliant facilities. If you do not agree with any of the requirements that are contained within this document, or do not plan on recovery, please do not sign this agreement, and leave our program immediately. * DISCHARGE: Once you are discharged from Kokopelli Group Home, LLC (whether voluntarily or by termination of the agreement) you are not permitted to return to the facility or any other Kokopelli facility, without the Manager escorting you. The Manager may refuse admission. Any violation will result in Criminal Trespass Charges being filed. This is to protect the facility and you. * SPECIAL NOTATION: The Program Service Fees, Daily Prorating of the Service Fee and Security Deposit may require adjusting on a periodic basis. If the fees are to be adjusted, Kokopelli will give the Program Participant a minimum of 30 days written notice. There may be a necessary temporary surcharge to be assessed. Kokopelli will provide a seven (7) Day notice for the surcharge. Additional Rules and Policies may be required or existing rules and policies revised to enhance the Kokopelli Group Home, LLC. Program. In witness, each party to this agreement has caused it to be executed in Mesa, Maricopa County, Arizona on the date indicated below. Program Participant READABLE Printed Name Program Participant Signature/ Date Kokopelli Group Home, LLC / Date Initial location of Kokopelli Group Home, LLC: 1463 E Diamond, Mesa, AZ 85204 2210 W Cabana, Mesa, AZ 85202 758 N Cholla, Mesa, AZ 85201 2223 W Edgewood, Mesa, AZ 85202 552 N Temple, Mesa, AZ 85203 1942 S Emerson, 141, Mesa, AZ 85210 Note: The program participant may relocate from one facility location to another with the approval of any required supervisory authority. This agreement will remain in force until such time that the program participant is no longer participating in the Kokopelli Group Home, LLC Recovery Program Service. __________ Participant Initial KokopelliProgramParticipantAgreement 6/9/2014 Page 8 of 8 © 2004-2013 Kokopelli Group Home, LLC receive the application back to take to one of the bus terminals indicated on the application They will take your picture and give you a Handicapped ID Card. This enables you to pay half fare to ride a bus. You will want to get a month pass or a multiple day pass. Don’t forget to get an appointment for DES Food Stamps, WorkForce Connection (Jobs), and AHCCCS Insurance. AHCCCS may reject your application. KEEP the Rejection letter, as you may be able to receive reduced or free Medical assistance with the letter. See the Kokopelli Website for Medical facilities for low income persons. You will want to do that right away, like NOW! The main DES phone that I called was (602) 542-9935. Always call to verify the office location and then go to the office FIRST and get an application and make an appointment. There have been many changes to the office locations. The DES Office Location website is: https://egov.azdes.gov/eol/EOLSearch.aspx. For Zip Code 85201 (Cholla) you would go to 5038 S Price Rd Tempe AZ 85282. The phone number is (480) 890-7300. For Zip Code 85202 (Cabana & Edgewood) and 85204 (Diamond) you would go to 2288 W Guadalupe Rd, Gilbert, AZ 85233. The phone number is (480) 777-1168. For Zip Code 85203 (Temple) you would go to 1619 E Main St, Mesa, AZ 85203. The phone number is (480) 834-4066. For Jobs. Kokopelli has tried to gather many places that offer jobs. Thos are listed on our website http://www.kokopelli-recovery.org. Go to Work/Jobs, then Job Searches and Placement. There are also Meetings listed, Food Boxes, Transportation and a bunch of other stuff, within Community Links. GOOD LUCK! PS: Please do yourself a favor right away. Go register for as many Day Labor Companies as you can. Then start hitting the companies that are close to your facility. Jobs are tough, but you can get out to work. We have put an asterisk (*) next to companies on our list that have been favorable to our program participants. Also do another thing for yourself, Go apply at Goodwill, Savers, and Deseret Industries. You might call the Mormon Church and request to talk to the Bishop. They can possibly give you a work ticket for Deseret Industries. Kokopelli will provide you with a Job Search Form, a Meeting Form, and a Daytimer Form. We expect these be completed and turned in to your manager. At the end of the week, your manager will complete an interview with you for your weekly status. This status will be maintained in our files. If you do not get a job and follow through with paying your fees, Kokopelli will place you on restrictions. These restrictions include additional chores, no visitations off or on the property, more meetings, counseling, limited TV and computer, limited use of laundry facilities, increased supervision. Be responsible and it will pay off. If you want, go out and visit other group homes. If you find one that is better, then please plan on moving there right away. We want responsible people that really do want to turn their lives around not just give us “Lip Service”. Once you do get a job, don’t just stop considering other possibilities. You should plan on working 60 hours per week to pay your bills, pay your fines, buy things for yourself, and even save a little. In today’s society 40 hours per week does not “cut it”. If you work on a job that “stops” when the boss goes on vacation, then get another job, as this one is really a hobby. Don’t quit one before you are ready to start another. If you do get as job and it does not start for a few days, then get out to somewhere to make a few bucks. Do not plan on lying around the house. That will not pay your bills. Instructions_for_Life KOKOPELLI HOME Meeting Tracking Form ______________________________________ Program Participant Name Please have this form Signed by the Meeting Host. Present this form on a weekly basis to your Developmental Advocate. (Note: To document Meetings, Church, Counseling, Etc.) When Signing Out on the Registry Computer, you must designate an accurate destination. Date Meeting Meeting Host Signature KOKOPELLI_Meeting_Documentation 01-17-2012 © 2012 Kokopelli Group Home, LLC Name My Budget Plan Date Date Date Date Date Date Date Item / Date Planned Income Actual Income Planned Program Fee Actual Program Fee Planned Program Deposit Actual Program Deposit Planned Food Actual Food Planned Transportation Actual Transportation Planned Court Fees Actual Court Fees Planned Testing Fees Actual Testing Fees Planned Child Support Actual Child Support Planned Other Bills Actual Other Bills Planned Savings Actual Savings Miscellaneous Notes My_Budget 1/17/2012 Date Date Date Date Date Date Date Date Name Time 0:00 Sunday Monday My DayTimer Tuesday Wednesday Date: Thursday From Friday To: L=PO,Court,Etc D=Dr, Medical O=Day Off Saturday 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 24:00 Quick Legend DayTimer 01-17-2012 W=Work M=Meeting S=Sponsor C=Charity Name: Date: Goals and Objectives GOALS: Goals are statements of direction. They are guidelines for choosing tasks. In order to know if your ship is on the right course, you need to know the destination. How you get there may be the series of objectives you identify, but the purpose of the journey is expressed through the goals. OBJECTIVES: Objectives are measurable tasks that are developed to achieve the goals. Objectives may have a quality and/or quantity dimension that may be part of the way in which achievement will be measured. Individuals can set personal goals. The difference between a dream and a goal is that a dream is simply a fantasy, something you daydream about, but never actively pursue. A goal, on the other hand, is a concrete thing in which you set into motion the steps in which to obtain it. Managing goals can give positive returns in all areas of personal life. Knowing precisely what one wants to achieve makes clear what to concentrate and improve on, and often subconsciously prioritizes that goal. Goal setting and planning promotes long‐term vision and short‐term motivation. It focuses intention, desire, acquisition of knowledge, and helps to organize resources. Efficient goal work includes recognizing and resolving all guilt, inner conflict or limiting belief that might cause one to sabotage one's efforts. By setting clearly defined goals, one can subsequently measure and take pride in the achievement of those goals. One can see progress in what might have seemed a long, perhaps impossible, grind. Success requires forgoing excuses and justifications for poor performance or lack of adequate planning; in short, success requires emotional maturity. The measure of belief that people have in their ability to achieve a personal goal also affects that achievement. Long term achievements rely on short‐term achievements. Emotional control over the small moments of the single day makes a big difference in the long term. A couple of examples are: •Sending out appreciation cards to those in your life that matter to you. •Smoking one less cigarette a day or drinking one less soda per day. •Finally getting your credit report to see where your credit stands. •Making sure to tell your kids you love them at least once a day. •Taking your lunch instead of going to the drive‐thru at least once a week. These are just a few examples, but you get the idea. Just remember setting personal goals doesn’t have to be a big deal, start small and slowly make progress. It’s getting started that is important. All goals are smart goals. What is important, is that the goals you are setting need to be important to you. If they aren’t, then you will not be motivated to attain those goals and if you don’t attain your goals then you will stop setting goals and then what? You guessed it. You’re nothing but a dreamer who doesn’t make anything happen. A smart goal is a goal that is important to you, that you can get motivated to achieve. Goal (what do you want to do) Objective (how will you get there) Achievable Date KokopelliGoalObjective 01‐17‐2012 Job Search Report Employer Name Date Name Address City Probable Result ‐ Comments ‐ Follow‐up Employer Representative Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Internet http:// Email: Physical Followup Date: Phone Kokopelli Clothing Boutique Kokopelli has established a Clothing Boutique. We have donated hundreds of pounds to Goodwill, Savers, and Deseret but they do not donate back. We purchased several high quality clothing racks and have set them up at 2210 W Cabana, Phone (480) 907-6428. The plan is to gather more clothing and offer for all Kokopelli Program Participants. There are sport coats, Golf Shirts, Shorts, and more. We need shoes, and pants. I have passed out many flyers to my neighbors soliciting more Business Casual Clothes, and they help us out. The clothing is FREE. You can make a completely voluntary donation. The only thing we ask is a small donation. This can be a dime, quarter, half-dollar, dollar or whatever. Just give to the Cabana Manager or put in the Donation Jar on the clothing rack. The donation will be accumulated for us to be able to provide Gift Cards to Participants who need clothing that we do not have (i.e., Steel Toe Shoes, Etc). If you have clothing items that are still usable, please launder and leave for me to pick up on Saturdays. Please put in a White Kitchen Bag and Mark on the outside Donation. Thanks a BUNCH! Steve & Dorothy Kokopelli Group Home, LLC 1825 S Cholla St Mesa, AZ 85202 (480) 820-2121 Office (480) 620-2036 Mobile Steve (480) 620-2039 Mobile Dorothy (480) 275-3040 Fax Date: To Whom It May Concern: I am the Director/Manager of the Kokopelli Group Home, LLC located at: 2210 W. Cabana, Mesa, AZ 85202 (480) 907-6428 758 N. Cholla, Mesa, AZ 85201 (480) 584-6583 1463 E. Diamond, Mesa, AZ 85204 (480) 219-2768 2223 W. Edgewood, Mesa, AZ 85202 (480) 219-1374 552 N Temple, Mesa, AZ 85203 (480) 474-4050 1942 S Emerson, 141 Mesa, AZ 85210 (480) 214-5303 ____________________________________________________ Mr. _____________________________________ is in the home indicated above and is following all facility rules, procedures, and protocols. He may not have established mailing, due to his recent enrollment in the program. The Program Fee is $132.29 per week, including taxes and utilities. Kokopelli Group Home, LLC is registered with the City of Mesa. Each program participant must provide and prepare their own food and meals and store in their personal assigned storage area in the refrigerator and food pantry. Kokopelli Group Home does not provide nor prepare food. This is to certify that he is a resident, participating in our program. Please accept this statement as proof of residency. Sincerely, ____________________________________________ Signed by Manager or Director Kokopelli_Group_Home_Residency_Letter_Agency August 31, 2012 © 2012 Kokopelli Group Home, LLC Kokopelli Group Home Employer Report 8/20/2012 Employer Name 1130 The Restaurant 21st Century Health Care Inc. 24/7 Auto Glass 5 And Diner Abercrombie Able Body Ace ace Air Conditioning Experts ace ind. supply Ace industrial supply Acme Air Adobe Air Advocates for the Disabled Affinitas Agate Steel INC. AIP Solutions Air Care Air Cold Cooling and Heating Air Quality Consultants Al Tech Energy Management Alaskan Quality Services Allied Forces Allied Forces Allstate Cab Company Alpine Bread Always RV AME Southwest Inc. American home Maint American Home Maintenance American Home Maintenance America's Best Coupons, LLC Andrew's Refigeration Anytime Auto Glass,LLC Applebee's Appreciated Graphics Arizona Catering Arizona's Best Equipment Arrow Property Management Auto Glass Company auto glass shop AZPack.com Baggage Inc Bank Of America Bazzill Basics Paper Beautiful Closets & More Bella Foods Beutiful Closets & More Big Co Big Company Bill Johnson's Big Apple blondies Brenda's Kitchen Brother Henry Brothers Mason Inc. Bruinwick Burton Courier C.L.C. Enterprises Inc Cardinal State AC.Heating Caretaker‐Mother Cavalry Staffing chaos Const Chilis Chompies Baking Company Cimmaron Desgn cj custom homes Classic Spa Clean Air Cab Climate Pro Community Bridges Company Retirement Connect To your Home Work Type Restaurant Manager Service Technician‐Auto Restaurant Retail Labor‐General Retail Store HVAC Retail Store Retail Office Phone (602)368‐3046 (480)966‐8201 (480)232‐3212 (480)641‐1919 (480)970‐7616 (480)833‐4076 (480)893‐6081 (623)848‐9552 (480)893‐6065 (480)345‐1406 Telemarketing (480)379‐1000 Bryson (602)212‐2728 (602)212‐2606 Diane (480)768‐2700 Eric (480)994‐9455 Darren (602)297‐9200 Jerry Smith (480)238‐2273 Bryson ? (480)696‐3090 Bryson Labor‐General Information Technology Telemarketing Telemarketing HVAC Telemarketing Labor‐General Labor‐General Driver Labor‐General Labor‐General Landscaping Telemarketing Telemarketing Telemarketing Telemarketing HVAC Service Technician‐Auto Restaurant Labor‐General Restaurant Construction Service Technician‐Auto Labor‐General Warehouse Labor‐General Warehouse Carpenter Telemarketing Warehouse Restaurant Restaurant Construction Retail Store Driver Construction Information Technology Community Service Service Technician‐Auto Construction Restaurant Labor‐General Construction Fax Phone Supervisor Name (602)368‐3052 Christian Hernandez (480)927‐9300 Scott Jenkins (480)962‐1565 Lance (480)275‐7165 Jeff Franks (480)833‐4497 william contreras (480)797‐5130 Steve Horbert Pat Tellez Matt Supervisor Mobile (480)277‐6798 (480)984‐3111 (480)986‐8021 Rodney Kent Herriott (480)558‐3160 Mike Jr. (602)906‐0111 Todd (480)240‐9455 Todd Gray (602)909‐0111 (602)449‐1008 Jack English (602)763‐1004 Jayson Wagoner (480)430‐4597 (480)988‐2950 Patrick (623)544‐0368 Jodie or Sunday (480)649‐2642 Alberto Jim (623)577‐5187 (480)245‐3824 (480)244‐1010 adam (480)449‐7770 Caroline (602)541‐0953 Claire M Newby (800)756‐3333 Devon Carson (480)558‐8557 Nathan Jones Craig Hyland (602)415‐1882 Virgil Derrick (480)980‐0428 Craig Hyland (480)223‐2584 Labor‐General Driver HVAC Community Service (480)545‐3804 (480)621‐8475 (480)898‐7218 (480)277‐6798 (480)926‐3928 (602)687‐9439 (480)586‐2926 (480)633‐2900 (602)765‐7136 (480)295‐5182 (480)694‐9629 (480)496‐8558 (480)777‐9777 (480)600‐0362 (602)273‐9999 (602)225‐2409 Burt Chris Jim Burton Rosco Richard Stinebuck Linda Stevens Andrea Constantin James Mike Scott Robert Terry Hawkins Chris Moody Linda Bill J Amanda Rhonda Meacham Telemarketing (602)926‐7392 Dave Contractors & Builders Construction Contractors&Builders Crandells Upholstery Creative Environment Designs Crum Plumbing D.C.Nicoll Fine Homes, LLC Delta Air Construction Upholstery Landscaping Plumber Construction Telemarketing [email protected] (602)574‐6605 Self (480)446‐7788 (480)446‐7711 Lisa Antone (480)774‐0764 (480)774‐0762 Jim (602)431‐6642 (602)225‐2733 George Phillips (480)888‐7676 (480)888‐7677 Joseph Johnson (480)969‐6504 Heather von (623)977‐2631 Supervisor Email (480)949‐5900 (602)752‐0738 (480)217‐7015 (602)492‐0944 (602)320‐6455 (602)571‐3849 [email protected] [email protected] [email protected] (480)980‐0428 (480)980‐0428 [email protected] (602)567‐9090 [email protected] (602)499‐6348 (480)242‐2011 (480)570‐1608 (602)999‐5580 (480)291‐4361 (602)301‐6210 (602)531‐1113 (480)352‐1110 [email protected] (602)437‐3355 (602)437‐3366 Megan Kennedy (602)663‐7773 m (602)437‐3355 (602)437‐3366 Dale Hudnall (480)969‐2855 Ray Crandells (602)478‐5978 [email protected] (480)464‐5854 (480)629‐8400 Cameron Don Nicoll Carlos y@ (480)577‐9491 Page 1 of 4 Pay Per Period Pay Period 0 500 Bi‐Weekly 300 Weekly 0 Bi‐Weekly 0 Bi‐Weekly 6.75 Daily 0 800 Bi‐Weekly 0 Weekly 500 Weekly 0 8 Weekly 0 0 Bi‐Weekly 0 0 Bi‐Weekly 280 Weekly 0 Weekly 0 1500 Bi‐Weekly 8 Hourly 10.1 Hourly 256 Weekly 0 Daily 640 Bi‐Weekly 8.5 Hourly 18 Hourly 0 Weekly 0 Weekly 0 Bi‐Weekly 0 Weekly 600 Weekly 0 Weekly 9.5 Hourly 10 Daily 500 Bi‐Weekly 0 Bi‐Weekly 0 0 0 Weekly 0 500 Weekly 900 Bi‐Weekly 9 Weekly 10 Hourly 0 Weekly 0 250 Bi‐Weekly 400 Bi‐Weekly 4.25 Hourly 0 Bi‐Monthly 0 Bi‐Weekly 0 0 Hourly 375 Bi‐Weekly 0 Contract 800 Bi‐Weekly 11 Weekly 0 8 Weekly 7.65 Weekly 0 Bi‐Weekly 290 Bi‐Monthly 8 Hourly 0 0 Bi‐Weekly 0 Daily 0 Hourly 500 Bi‐Weekly 0 0 Weekly Employer Website [email protected] www.21stcenturyvitamins.com [email protected] www.abercrombie&fitch.com www.ablebody.com Adobeair.building.officelive.com aipsolutions.com aircareaz.com alaskanqualityservices.com [email protected] thejokerinc.com plusservicescompany.com http://www.BigCompany.com www.billjohnsons.com cavalrystaffing.com Address 455 N. 3rd Street, Suite 1130 2119 S. Willson St. 1801 S.Jentilly Lane 6353 E. Southern Ave. Scottsdale fashion sq. 851 E.Main ST. 6501 W Fry, #16 6501 W. frye 1631 E. Baseline 1867 E Baseline Rd 1630 E.Apache Blvd. #109 City Phoenex Tempe Tempe Mesa Scottsdale mesa Chandler mesa Chandler Tempe Tempe Tempe State AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ Alma School P.O. Box 117 333 E Osborn rd 535 E. Iron Ave.#117A 535 Iron AVE. Mesa Scottsdale Phoenix Mesa Mesa AZ AZ AZ AZ AZ 85201 85252 85012 85210 85209 21402 North 7th Avenue 640 S. River Dr. 1400 S. McClintock, Ste 12 2708 W. Sothern Ave 4008 E Air Ln AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ 85027 85281 85281 85282 85034 13068 W. McDowell 1540 E. University Drive 4006 S 23 St 7303 S. Kyrene 1210 W Alameda Dr Suite 120 2727 S. 48th St. 7001 W Erie St 1308 S. Spur St. 420 N. 52nd Ave. 1308 S. Spur St. Phoenix Tempe Tempe Tempe Phoenix Mesa Mesa Gilbert tempe Tempe Tempe Tempe Phx. Mesa Surprise Mesa Mesa Phx. Avondale Mesa phoenix Tempe Tempe Tempe Chandler Mesa Phoenix Mesa 2456 E Southern 590 E. Main St. 501 s mill ave. 13200 N. 113th Ave. Tempe Mesa tempe Youngtown AZ AZ AZ AZ 3621 38th street 1140 s. gilbert 6720 E. Encanto St., Unit # 73 PO Box 8911 210 North Lindsay 833 E. Sanangllo 3230 E Broadway Rd #C150 mesa Gilbert Mesa Mesa Mesa Gilbert Phoenix Chandler Mesa Phoenix Mesa Mesa Chandler Mesa Mesa Phoenix AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ 104 S. 92nd Way 1403 W. Scott Ave. 2922 S Roosevelt 2922 S. Roosevelt 2922 S. Roosevelt 1969 E Broadway Rd. Ste 104 4202 E. Elwood 2659 Guadalupe Rd.Ste.202 13756 W. Bell Rd. 1601 w. Broadway 1716 E. Main Zip 85004 85282 85281 85206 85258 85203 85226 85081 85283 85281 85207 85233‐3046 85282 85281 85282 85202 85374 85202 85201 85392 85203 85040 85283 85282 85283 85226 85204 85043 85204 85281 85203 85363 85296 85205‐6072 85214 85213 85234 85040 85224 85204 85034 85202 85201 www.communitybridgesaz.org 1637 S. Stapley Dr. 220 S. 9th St. 5415 E. McKellips Rd. 550 w McKellips Rd. 56TH St & Ray Rd 1600 W. Main St. 535 W. Iron Ave Ste. 110 2770 E. Van Buren 423 N Country Club Mesa AZ 360 Weekly contratorsandbuilders.com 2113 S. 48th St. Tempe AZ 85282 360 Weekly 300 Weekly 0 0 Bi‐Weekly 12 Hourly 0 www.contractorsandbuilders.com 2113 S. 48th St. Suite 108 431 S. Stapley DR. 305 N. 54th St., Ste 205 1410 W. Houston Ave. 2220 E. Laurel 1867 E baseline Rd Tempe Mesa Chandler Gilbert Mesa Tempe AZ AZ AZ AZ AZ AZ 85252 85203 85226‐2513 85233 85213 85283 www.CleanAirCab.com 85201 85210 85008 Kokopelli Group Home Employer Report 8/20/2012 Delta Technology, Inc. Desert Glen Desert Powder Coating Desert West Builders DHM Landscaping Direct Alliance Discount Auto Dish network Doughnut Peddler Dreamers Travels DSD Partners Dunkin Donuts Dunkin Donuts Durger Dog Eagle Alarm East Side Marketing Elite Wholesale auto LLC EMT Medical EMT Medical Entrust Companies, LLC. Ever‐Ready Glass EX‐PERT MECH. Expert Mechanical Express Fitness famous daves bbq Farnsworth Wholesale Farnsworth Wholesale Company Fiesta Plastics Francis and sons Fry's Marketplace Full merchant funding Gallery Distribution GC Services General Labor Gentle Care Transport Glendale Pallets Global Fortune Network, LLC Gold Canyon International, Inc. Grand Prix Car Wash & Lube Green Alliance Groundskeeper Hardin Service Group Harte Inc Hobby Lobby Holiday Inn Holiday Inn Hony Baked Ham Houston Inc ICE Enterprise INCREDIBLE DIRECT Incstinktive Tattoo Industial personnel innovative marketing strategies IPace Setters IPace Setters Iqor Ironco Jack Tre Ent James Gerard foods Jiffy Lube Jiffy Lube JM Canopies john bair Kaplan College Kart Kare of Arizona KDC Bindery Kempton Transportation Inc. Know Job. KRM Flooring L & J Tire and Wheel La Mirage RV Park Labor Force Labor Ready Labor Ready Labor Ready #101 LaborMax lawn and order Lemme Engineering Lexcor Liberty Tax Service Information Technology Landscaping Labor‐General Construction Landscaping Telemarketing Driver Warehouse Service Technician‐Auto Driver Restaurant Restaurant Restaurant Telemarketing Telemarketing Mechanic Telemarketing Telemarketing Telemarketing HVAC Service Technician‐Auto Retired Restaurant Warehouse Warehouse Labor‐General Labor‐General Retail Store Labor‐General Telemarketing Labor‐General Driver Retail Warehouse Retail Store Telemarketing Landscaping Telemarketing Information Technology Retail Store Labor‐General Labor‐General Restaurant Construction Telemarketing Telemarketing Telemarketing Telemarketing Telemarketing Welding Computer Professional Warehouse Mechanic Service Technician‐Auto Labor‐General Telemarketing Labor‐General Warehouse Driver Construction Labor‐General Manager Labor‐General Landscaping Construction (602)243‐1514 (602)243‐0598 Gary O'Dell Patrick (602)253‐7875 (602)253‐7860 Joshua Ambroson (480)894‐6488 Scott Johnson Matt (800)296‐3366 Shawn Ward (480)649‐5363 Herb (602)740‐1939 (480)985‐1038 Glad Smith (602)305‐6414 (602)305‐6421 Gilbert (480)813‐1342 mike Griffin (480)947‐3999 Gabe (480)832‐0009 Jessica (602)732‐6699 James (480)240‐1391 David Lowe (602)399‐5377 Larry Mcevoy (480)237‐8039 Jeremy (800)891‐7636 John Gilleland (888)815‐1673 Blake (520)954‐7284 Peter (480)678‐9496 Bud Williams (480)244‐0391 Bud Williams (480)963‐0024 Dave Derouin (480)615‐1444 john (480)282‐5900 (480)615‐5975 David Morris (480)497‐2222 (480)503‐1644 Scott Beagley (480)921‐2105 (480)829‐1204 Marshal Tienken (480)857‐0188 Jose (480)657‐6400 Kim (585)284‐8162 Ron Mike Gallery (480)615‐3040 (480)615‐3075 Ted Woelke (480)898‐1924 Mary (928)428‐3135 Jasmine Ray Glen (602)366‐0070 Marcos Gil (480)964‐0370 Julie (800)871‐2341 George (480)545‐0456 Dave Sexton (480)469‐2000 Josh Johnson (602)254‐6952 (602)268‐1407 Mark (480)705‐9003 Quentin (602)595‐4444 (602)595‐4011 Hans Pircher,CHA (480)964‐7000 Susan Kufner (480)854‐3300 John (480)306‐5070 (480)633‐3458 Trevor Houston (888)320‐4234 Bryant Tekulve (720)270‐3581 DARRELL MITCHELL (480)279‐6571 (480)968‐5533 (480)248‐1577 (480)784‐2270 Danette Dontje Shomari John Santistevan (602)243‐5750 (602)243‐5764 John Stiles (404)775‐0530 Self (602)243‐3700 Jennifer (480)325‐3445 Rob Rhymes (480)926‐3264 Mike Gallager (480)379‐1000 (602)548‐1955 (480)671‐9648 (480)784‐4948 (480)988‐9110 (480)988‐0180 (602)273‐6866 [email protected] (480)993‐8968 (602)295‐3744 [email protected] (480)238‐9166 (909)947‐0364 [email protected] (866)673‐0221 (480)244‐0391 (480)254‐7407 (602)708‐1692 [email protected] [email protected] [email protected] (623)533‐0499 (928)428‐1899 (928)304‐6577 (602)268‐1227 [email protected] (480)299‐6651 [email protected] (480)722‐7831 [email protected] [email protected] (480)297‐1146 john bair Kay L Driver / Owner Alma Dell Kempton (602)370‐6065 Ken Martin Jim self‐employed (480)206‐8130 (480)357‐2100 (928)446‐5326 (602)620‐4150 (480)774‐0764 (480)839‐4350 (480)839‐4319 Paul (480)545‐1769 (480)839‐4350 (480)839‐4319 (602)682‐7855 (602)682‐7703 (602)841‐6904 (602)841‐6351 Tim Gaudette (480)732‐1414 Joe Auksel (480)461‐9930 Roberta 1206‐[email protected] 1206‐[email protected] (480)907‐9824 [email protected] Page 2 of 4 720 Weekly 0 Bi‐Weekly 0 0 Bi‐Weekly 320 Bi‐Weekly 12 Hourly 0 Weekly 0 9 Bi‐Weekly 800 Bi‐Weekly 1000 Bi‐Weekly 400 Bi‐Weekly 0 Hourly 10 Hourly 0 Bi‐Weekly 0 Weekly 9 Bi‐Weekly 11 Hourly 700 Bi‐Weekly 0 0 Weekly 0 Bi‐Weekly 0 960 Bi‐Monthly 0 550 Bi‐Weekly 0 Bi‐Weekly 512 Bi‐Monthly 7.25 Weekly 0 Bi‐Weekly 0 0 0 Bi‐Weekly 0 Daily 400 Bi‐Weekly 0 Bi‐Monthly 0 Bi‐Weekly 10.5 Bi‐Weekly 7.5 Weekly 0 Bi‐Weekly 0 0 Bi‐Monthly 300 Weekly 375 Bi‐Weekly 0 Bi‐Weekly 7.25 Bi‐Weekly 7.5 Bi‐Weekly 16 Hourly 610 Bi‐Weekly 0 Bi‐Weekly 0 Weekly 0 0 0 Bi‐Weekly 0 Bi‐Weekly 0 Bi‐Monthly 0 0 0 7.58 Hourly 0 Bi‐Weekly 0 0 Weekly 0 10 Hourly 0 Bi‐Weekly 0 Weekly 0 0 Bi‐Weekly 0 Weekly 0 Monthly 0 250 Daily 0 0 0 0 Bi‐Weekly 600 Bi‐Weekly 0 0 Bi‐Weekly www.DeltaTechInc.com 4619 S.33rd Street 898 W Cullumber 4409 S. 35th Ave 22201 S. McClintock Phoenix Gilbert Phoenix Tempe www.GeneralLabor.com Hardy ST 560 W. Broadway 8200 s fairroad 4807 E Indigo st 830 E. Sherman St 139 S. Country Club Dr. 1230 E. baseline Scottsdale Rd. 2235 S. Power Rd., #120 423 N. Country Club Dr. #13 423 N. Country Club #41 375 E Elliott #9 Price & University, Ste 201 2155 E University 1255 W. Baseline, #200 2525 E. Indian School Rd. 55 W. HOOVER ST. 55 W. Hoover 3133 S. Lindsey,Rd 1010 n. dobson 1265 S. Pima 27 W. Baseline Rd. 216 S. Alma School Rd. #10 1244 S. Arizona ave. Pima & Via Linda 910 E Main St 6451 W. Bell Road 7307 E. Hampton Ave. Ste. 101 1454 W. Main St. www.holidayinn.com/phx‐downtown 4750 N. Black Canyon Hwy. 6205 South Arizona Ave. 808 S. Alma School 1625 W University Suite119 620 N Golden Key St 2135 E University Dr. Suite 110 4631 S 35th Place Ray/48th 212 West Osborn Rd. Tempe Mesa Tempt Mesa Phoenix Mesa mesa Scottsdale Mesa Mesa Mesa Chandler Tempe Tempe Mesa Phoenix MESA Mesa Gilbert mesa Mesa Gilbert Mesa Chandler Scottsdale Mesa Glendale Mesa Mesa Safford Glendale Phoenix Chandler Mesa Tempe Gilbert Mesa Phoenix Chandler Phoenix Mesa Mesa Mesa Scottsdale TEMPE dhm‐llc.com durgerdog.com www.eaglealarmsusa.com www.entrustbankcard.com [email protected] www.fwcaz.com www.fwcaz.com www.fiestaplastics.com Power Basline 633 W 2nd Ave 15501 N. Dial Blvd. MORGAN CHASE MILL & RIO SALADO www.IPACESETTERS.COM www.ironco.net www.kc‐phoenix.com [email protected] 3021 w clarendon ave 3407 n. central 1280 S.Country Club Dr.Ste.110 1280 W. Southern Ave 1330 W. Southern Ave Ste 301 1025 E. Broadway Rd. PO Box 370288 3310 E Corona Ave 1951 N. Higley Rd. 1710 N. Main Tempe phoenix Mesa Mesa Tempe Phoenix Decatur Phoenix Mesa Gilbert Gladewater 448 N Sunset Rd 406 S. Rockford P.O. Box 50667 Phoenix Apache Junction Tempe Mesa 5014 E van Buran 110 N. Washington www.LaborReady.com www.LaborReady.com 1340 E.Broadway Rd. #101 459 N. Gilbert Rd. 1340 E Broadway Rd 4170 N. 35th Ave. 3608 W. Bethany Home Rd. [email protected] 1139 S Dobson Rd# 102 Mesa Phoenix Quartzsite Tempe Tempe Gilbert Tempe Phoenix Phoenix Scottsdale Mesa AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ GA AZ AZ AZ TX AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ 85040 85041 85210 85282 85205 85034 85201 85209 85201 85201 85201 85202‐5820 85016 85205 85296 85201 85210 85233 85210 85203 85306 85209 85201 85546 85017 85248 85201 85213 85040 85044 85013 85201 85210 85260 85282 85210 85210 85282 85040 30037 85040 75647 85119 85281 85208 85205 85008 85346 85282 85282 85233 85282 85017 85019 85202 Kokopelli Group Home Employer Report 8/20/2012 Liberty wire & cable Logans Road House Lowes Macayo's Mexican Restaurant Mainstream Magazine Labor‐General Restaurant (602)438‐7100 (602)437‐1182 Sidney Chou (480)668‐5900 Durrell Moree Restaurant Retail (480)820‐0237 (480)820‐2476 Mark Repasky Shyla Rotmil MARC Center Labor‐General (480)969‐3800 Marc Center Marc's Glass Maxon Security McDonalds MDS Communications Meineke Auto Center Mekong Palace MekongMarket Mesquite Landscape Services Mimi's Cafe Mobile Repair Service M‐Power Electric LLC National Van Lines Nationwide Tools Native Environmental Nite Sweeps Nite‐Sweeps LLC North Phx. RV Park Oil Can Henry's Omega Auto Glass Otto Logistics Palm Harbor Homes Paradise Promotions Paradise Southwest Cleaners Park & Swap Park & Swap PD Sales and Service Phoenix battery service Photovoltaic Resources International Pima Plastics Pizza Hut Labor‐General Construction Telemarketing Tammy Puenta (602)257‐4329 Marc (480)626‐5102 (877)762‐0890 Dallas Eddy (480)752‐8140 Rotunda Supon (480)969‐5433 Larry (480)962‐0493 Sharon (480)833‐0095 Jim (480)615‐0103 Pedro Hernandez (480)899‐5612 Scott (602)696‐9738 Daniel Morgan (480)786‐6641 Michael Lipman (480)398‐4422 Carl Ogorman (480)238‐6515 Joe (480)254‐0122 Jon Riggs (623)337‐6988 John Schnell (480)214‐5277 Deb Fry (602)441‐8188 Bill Senkavich (928)776‐9677 Nate Winwood (480)838‐2222 (480)838‐2256 Robyn Bailey Dan Chris Frankco Pizza Hut Pizza Pit Restaurant Restaurant (480)926‐4083 (480)755‐7555 Planet Earth Satellite(Dish Direct AZ) Pleasant Valley Air Pleasant Valley Air Political Call Center (PCC) Political Call Center(PCC) Preacher Premier Auto Glass PrimeBar Pro Logistics Pro Ranch Market ProActive Energy Professional Exterior Services (PES) Property Preservation Pros Ranch Market Pro‐Sweep Protection Now Security Purcell Tire Pure Fitness Pure Image Purefitness Quality Image Promotions Quality Stucco Quick N Clean Quick N Clean Car Wash Quiznos R & K Building Supplies R&R Images Ranch Market Reconditioned Systems Red Hot Prospects Rex & Restorations Roberts Painting Rotolo"s Ruinard Industries RWC Building Products Sabarros Pizza Sadona Pines Safety Sam Inc. Telemarketing Telemarketing Telemarketing Telemarketing Telemarketing (602)889‐8450 (602)889‐8488 William Watkins (480)430‐6883 Sonnet Sharpe (866)258‐7973 Michelle Button (480)602‐3795 Thomasita (480)603‐3792 Annalisa Labor‐General Restaurant Warehouse Retail Electrician Labor‐General Construction Retail Store Labor‐General Telemarketing Retail Labor‐General Telemarketing Manager Telemarketing Construction Labor‐General Labor‐General Restaurant Carpenter Labor‐General Retail Labor‐General Information Technology Service Technician‐Auto (480)570‐9293 Scott (480)822‐6200 Duty Manager (602)794‐8500 (480)961‐1787 Maribel Tovar (480)844‐3666 Wendy Ifuentes Telemarketing Service Technician‐Auto Restaurant Retail Store Landscaping Restaurant HVAC Electrician Labor‐General Labor‐General Construction Labor‐General Labor‐General Labor‐General Service Technician‐Auto Telemarketing Labor‐General Carpenter Telemarketing Labor‐General Labor‐General Restaurant Mechanic Service Technician‐Auto Information Technology Labor‐General Restaurant Restaurant Labor‐General Retail Labor‐General [email protected] (602)391‐5231 Debbie Farnsworth [email protected] [email protected] Bebbie.cherry‐ [email protected] (480)612‐1650 (602)373‐4501 (480)433‐3572 (480)430‐1011 [email protected] [email protected] [email protected] (602)475‐6236 (480)830‐8292 Colby Giles (602)273‐1250 Miguel (602)273‐9623 Steve (602)957‐3532 Paul (602)765‐9144 Jason brock (480)216‐5906 William Kaszetu‐Pres (480)966‐8984 (480)966‐8991 Bob Truxes (480)844‐9916 Melissa (602)488‐3654 (480)543‐8299 [email protected] Renea General Manager Matt Simmons (480)921‐7080 (480)921‐7081 David Monti Eric Baxter (480)844‐3666 Renee (480)464‐8050 (480)844‐8157 Israel Gillian (480)427‐4779 (480)686‐9947 (602)252‐3500 (602)252‐9006 Tom Moyer (480)491‐4600 Joe Dallas Jaron Dallas (480)215‐4905 Jim Gordan (972)679‐9371 Robert Petry (602)502‐0861 Joe (480)968‐0601 (480)968‐0611 Miad Vakili (480)892‐1200 (480)892‐5909 Bart Simonton (602)437‐4545 (602)437‐3553 (480)844‐3666 Paul Aldana (480)968‐1773 (480)894‐6367 Dave Wenner (602)367‐6282 (480)557‐3637 Rex Robert (480)246‐8547 courtney (480)203‐6713 (480)833‐0703 (480)834‐7137 Craig Dunda (480)898‐1470 Rob Sugden (602)639‐4602 Scott Joiner [email protected] (602)531‐7375 [email protected] (480)228‐6908 (480)961‐1555 (480)255‐9904 (602)540‐7337 (702)883‐4385 (480)544‐4712 (440)645‐8566 dmonti@pes‐az.com [email protected] [email protected] (617)304‐0075 (480)510‐3637 (602)284‐4451 [email protected] [email protected] (480)217‐0236 Page 3 of 4 320 Hourly 0 Bi‐Weekly 0 Hourly 0 0 www.logans road house.com www.macayo.com www.mainstreammagazine.com 4219 E Broadway suite 102 945 N. Dobson Rd. 1436 E Florence Blvd 1920 S. Dobson Rd. Phoenix Mesa Casa Grande Mesa Scottsdale AZ AZ AZ AZ AZ 85040 85202 85122 85202 85201 550 Bi‐Weekly 924 N. Country Club Dr. Mesa AZ 15 0 Weekly 0 Bi‐Weekly 0 400 Weekly 400 Weekly 0 Bi‐Weekly 7.25 Bi‐Weekly 0 Bi‐Weekly 4.5 Hourly 16 Hourly 0 Bi‐Weekly 0 Bi‐Weekly 0 0 Weekly 0 Weekly 8.25 Hourly 300 Bi‐Weekly 0 0 Weekly 8 Hourly 9 Weekly 280 Weekly 0 Bi‐Weekly 0 Weekly 190 Weekly 8.5 Hourly 0 0 Bi‐Monthly 416 Weekly 7.65 Hourly 925 N. Country Club 3123 E. Thomas 916 E. Baseline, Bldg 2, Ste 116 Mesa Dr & University 545 W. Juanita Ave. 2035 W. Broadway Rd 66 S. Dobson Rd. Ste.120 66 S. Dobson Rd. 1043 S. Lewis 2800 W. Chandler Blvd P.O. Box 41053 705 E. Val Vista Dr. 1940 N. Rosemont 2222 S. Dobson Rd. 2435 university drive 1750 N. Country Club Dr. 6019 E. Marconi Ave. 2601 W. Louis Dr. 439 Miller Valley Rd 135 E. Chilton DR. 1564 N. Alma School Rd. 15303 Dallas Pwy 5024 S. Ash 6024 E Mckellips Rd #4 3801 E. Washington St. 3801 E. Washington Ave 1930 W.Durango St. 2249 E Rose Garden Loop 1440 W. Meseto Ave. 828 W.24th St. 1140 S Country Club Mesa Phoenix Mesa Mesa Mesa Mesa Mesa Mesa Mesa Chandler Mesa Gilbert Mesa Mesa tempe Mesa Scottsdale Phoenix Prescott Chandler Mesa Addison Tempe Mesa Phoenix Phoenix Phoenix Phoenix Mesa Tempe Mesa AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ TX AZ AZ AZ AZ AZ AZ AZ AZ AZ 2056 E Baseline Rd 1954 S. Dobson #5 Mesa Mesa AZ AZ 85204 85202 3210 South Fair Lane 1900E.University Suite 360 1901 E. Univerisity Dr. 49 S. Sycamore #3 1201 S. Alma School Rd Tempe mesa Mesa Mesa Mesa AZ AZ AZ AZ AZ 85282 1346 N. 66th Pl. 243 N. Power Rd. 301 N. Scottsdale Rd. 100 W. University Dr. #118 25 W. Baseline 3602 East La Salle Street 1118 E. Southern Ave 2636 S. Wilson St., Ste 105 1815 W.1st.Ave 1846 E 3rd St, Ste 102 1903 W Dartmouthh 1641 S Stapley Scottsdale Phoenix Mesa mesa Tempe Las Vegas Mesa Mesa Chandler Phoenix Chandler Mesa Chandler Mesa Mesa Mesa Scottsdale Tempe Gilbert Phoenix Mesa Tempe Mesa Tempe Mesa Mesa AZ AZ AZ AZ AZ NV AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ 85281 85233 85040‐3992 85204 85282 85202 85281 85202 85204 1345 S. Center St. Fiesta Mall 6701 W. SR 89A 2626 S. Roosevelt St. Suite 2 Mesa Mesa Sadona Tempe AZ AZ AZ AZ 85210 85203 86336 85282 promos in paradise.com pimaplastics.com Pizza Hut . com 7.65 Hourly 8.25 Bi‐Weekly 0 200 0 640 0 0 0 7.25 7.5 300 0 400 0 0 280 0 1482 0 0 1000 7.25 10 0 0 0 8.5 0 0 475 500 6 0 0 0 0 0 320 0 Bi‐Weekly Weekly Weekly Bi‐Weekly Bi‐Weekly Pleasantvalleyair.com Weekly Hourly Weekly Weekly primebaramerica.com [email protected] 15037 N. Scottsdale Rd 3809 E. Watkins Rd. 1118 E. Southern Ave www.pes‐az.com 1971 E. Fifth St. 3315 E Russell Rd Ste‐A‐4‐147 Bi‐Weekly Monthly Weekly Weekly Hourly Bi‐Weekly Weekly Bi‐Monthly Hourly Hourly Bi‐Weekly Bi‐Weekly Bi‐Weekly Hourly Bi‐Weekly Weekly Bi‐Weekly Weekly Hourly Weekly Weekly Weekly Weekly www.purcelltire.com purefitness.com quicknclean.net [email protected] trusses @ randkaz.com randrimages.com resy.net http://ruinardindustries.com/info.html www.rwc.org www.highlandsresorts.com safetyservicescompany.com 2333 W. Broadway Rd. 3120 N Arizona Ave ste 108 2310 W. McDowell Rd. 3029 N Alma School Rd Southern Ave 823 W. AlmaSchool 85013 85210 85202 85202 85202 85210 85224 85274‐1053 85296 85202 85201 85254‐6533 86301 85228 85201 75001 85282 85215 85034 85009 85024 85202 85282 85203 85202 85210 85254 85040 85204 85202 85281 89120 85204 85202 85225 85009 85210 85226 85210 Kokopelli Group Home Employer Report 8/20/2012 Safeway Scaffolding Salt River Materials Group SASR Satellite Visions Sbarro Schade Distributing Schlotzsky's Deli Schuck & Sons Construction Schuff Steel SDB Contracting Sears See's Candies Serrano's So‐Cal Excavating Sonic Southwest Auto Glass SpaceData Corp. Special Moments Specialty Graphics Inc Specialty Graphics Inc. Staffing Network Staffing Network Staffing Services Starz Karaoke Stellar Graphics Stellar Graphix Inc Stellar Graphix Inc. subway Super Cleanse Janitorial Swiss Port Fueling Teramar Staffing Systems terry lewis enterprises test employer The Club Carpenter Labor‐General Labor‐General Labor‐General The Groundskeeper Outside Solutions Titan Framing TNS Enterprises Toby Keith's I Love This Bar and Grill Top Leaf Townsel contracting Trevor Maxon Enterprises TRI‐STATE AIR CONDITIONING Tv Dish & Everything Union Cab Co. Unique Auto Upholstery Universal Contarctors UPS Upwright Systems UR Entertainment US Online America Group Usha Bonsal Carver Valley Auto spa Vector Marketing Villa Morian Walmart watson roofing Well Conexx West Business Services West Communications Western Roofing Western Vents and Curbs Westside Supply Wild Card Bar World Triathilon Corp Younger Brothers (480)330‐1987 (866)867‐5571 (480)588‐9494 Tom Renfroe Gary Mackey Telemarketing Telemarketing Telemarketing Labor‐General Labor‐General Driver Warehouse Construction Mike Marquie Howard Holz (602)462‐9015 (602)462‐5536 Tom Schade (480)966‐7672 Marcy John Abel (480)892‐4257 Dave Johnson (480)967‐5810 jon filion (602)953‐7182 Anthony (480)962‐4693 Mary Warren (480)649‐3503 Pablo Kevin Olive (480)649‐5651 Josh Pivonka (480)233‐1969 Jim Vann (601)722‐2100 (480)403‐0021 Jerry Knoblach (480)730‐1114 (470)839‐8471 Michelle Taylor (602)841‐5886 Steve Meyer (602)441‐9652 Jim Martindale (602)577‐6915 Kathy McKnight (480)588‐2968 (480)839‐1532 Cecilia Camara (480)969‐8553 Ashley (480)227‐2488 Eric Godfrey (877)306‐8876 David Jacot (480)786‐8876 John W. Eisel (480)786‐8876 (480)302‐0809 john Eisel (602)438‐8264 adrian (480)632‐2534 Sue (602)273‐3662 Jake/Jerry (480)844‐4989 (480)964‐6103 Caroline (602)541‐0161 terry lewis Restaurant (602)274‐3425 Landscaping Carpenter Telemarketing Restaurant Tree Trimmer Construction Telemarketing HVAC (480)545‐0456 (480)545‐0016 Dave Peirce (480)899‐2827 (480)539‐1208 Dennis (888)255‐0341 Nick Lunsford (480)844‐8629 Steve (480)833‐6465 (480)664‐0027 Todd Hansen (313)970‐1716 Deandre Trevor Maxin (480)610‐5691 (480)797‐0702 Tony (480)303‐9999 Berto (480)998‐2380 Scott Oblinger (480)921‐1403 Brad Swihart (480)921‐2191 Brian Phill (480)363‐1133 Robert J. Brooks (800)237‐9354 Steve Driver Restaurant Construction Welding Construction Retail Store Restaurant Construction Restaurant Service Technician‐Auto Computer Professional Restaurant Telemarketing Telemarketing Labor‐General Labor‐General Driver Upholstery Telemarketing Labor‐General Labor‐General Telemarketing Construction Driver Retail Labor‐General Retail Construction (480)649‐5000 (480)213‐9708 (602)266‐0695 (480)962‐0038 (916)496‐6982 (602)723‐2770 (602)694‐3968 (602)739‐0990 (480)241‐0566 (602)573‐0216 (480)221‐0493 [email protected] [email protected] (623)205‐5574 [email protected] (480)593‐7626 (480)302‐0809 [email protected] (480)862‐3258 Cynthia / Junior Ron Stewart Caitlin Rogers same JD Jim conway (480)606‐2614 (602)518‐7641 [email protected] uniqueaz.com (480)861‐4176 (480)363‐1131 (480)620‐9339 (602)635‐2172 (602)882‐3495 (480)333‐4012 Telemarketing Carpenter Labor‐General Telemarketing Restaurant Labor‐General Labor‐General (480)967‐8073 (480)926‐1125 (480)857‐3088 (303)961‐7228 (623)979‐1111 Jose Perez (480)967‐2273 Dick Wactler (480)926‐7450 Bobby Heather Hamilton Chris Scott (928)257‐5721 (602)432‐3674 dick@western roofingaz.com [email protected] Page 4 of 4 11 Hourly 0 Weekly 12 Hourly 0 Weekly 0 500 Weekly 0 13 Hourly 0 Weekly 0 Weekly 0 150 Weekly 0 Weekly 0 Weekly 460 Bi‐Weekly 0 Weekly 3000 Bi‐Weekly 500 Bi‐Monthly 0 Bi‐Weekly 400 Weekly 0 Weekly 0 Weekly 0 75 Daily 0 0 0 Bi‐Weekly 0 Hourly 0 9 Bi‐Weekly 10 Weekly 9 Hourly 0 0 Hourly 11 Hourly 0 1000 Weekly 0 Weekly 0 Weekly 0 Weekly 0 Bi‐Weekly 0 Weekly 0 Bi‐Weekly 0 Daily 15 Weekly 0 Weekly 8.5 Hourly 0 0 Weekly 7 Hourly 0 0 0 0 Bi‐Weekly 360 Weekly 0 Weekly 0 0 Bi‐Monthly 0 300 Weekly 0 0 Bi‐Weekly 0 0 0 Weekly Phoenix Mesa AZ AZ Mesa Mesa Mesa Tempe Glendale Gilbert tempe Paradise Valley Mesa Mesa Casa Granda Mesa Chandler Chandler Tempe Phoenix Phoenix Tempe Tempe Mesa AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ AZ 1241 E. Broadway #12 3050 S. Country Club Dr. Ste #22&23 3050 S country club ste.22‐23 48th st southern 1755 S Windsor 4200 E Air Lane 230 W Baseline Rd Suite 106 3945 e. broadway rd. 6677 3432 E.ILLini Mesa Mesa Mesa phoenix Mesa Phoenix Tempe mesa AZ AZ AZ AZ AZ AZ AZ AZ Phoenix AZ 620 N. Golden Key St. PO Box 1395 648 S. 48th St. 1065 N. Dobson Rd 1485 N. McQueen ste2 19421 Chapel St. 3210 S. Fair Lane 501 W.8th Ave Arizona Mills Mall #1 2225 Broadway Rd. 8260 E Raintree Dr Suite 2 1761 W. University Ste 139 1975 E. Wildermuth Gilbert Gilbert Phoenix Mesa Gilbert Detroit Tempe Mesa Tempe Mesa Scottsdale Tempe Tempe AZ AZ AZ AZ AZ MI AZ AZ AZ AZ AZ AZ AZ 85233 85299 85008 85201 85233 48219 85282 85210 85242 85210 85260 5801 W. Geronimo St. 404 W Broadway Rd #107 Chandler Tempe AZ AZ 85226 85282 2033 W University Dr 1921 S. Alma School, Ste. 312 1503 W.Missouri #2482 Mesa Mesa Phx. Mesa mesa AZ AZ AZ AZ AZ 85201 85210 85202 85201 Mesa AZ 85203 Mesa Gilbert Tempe Chandler Tempe Chandler AZ AZ AZ AZ AZ AZ 85210 85233 P.O. Box 728 www.satellitevisions.webs.com [email protected] www.serranosaz.com www.spacedata.net www.specialmomentsaz.com www.sgi.com www.staffingnetwork.com stellargraphix.logomall.com www.groundskeeper.com www.jadeseek.com [email protected] westernroofingaz.com 20S. Power Rd Ste 106 6555 EAST SOUTHERN 139 S. Country Club Dr. 1401 W. Southern Ave. 619 N. Cooper Rd 810 w 1st street PV Mall 1810 W Southern Ave. 1964 E. McKellips 3009 N. Rockwell Dr. 618 W. Southern 750 W. Warner Rd. 2535 W. Fairview, Suite 101 1845 E Baseline Rd. 150 S. 51st St. 150 S. 51st. St. 250 W. Baseline Rd. Ste.106 250 W. Baseline Rd. #106 525 S. Gilbert Rd. 436 W. Mahoney Ave. 731 W. Commerce Ave Broadway/48th st Arizona Ave & Ray Road 70 W Rio Salado Pkwy 8525 N 75th Ave 85211‐0728 85206 85206 85201 85282 83503 85282 85202 85203 85002 85210 85225 85224 85283 85034 85283 85283 85204 85204 85210 85210 85203 85034 85282 85206 12345 85040 85281 Other Employers Employer Name Goodwill Career Resource Goodwill Career Resource Local Goodwill Stores Local Goodwill Stores Local Goodwill Stores Local Goodwill Stores Local Goodwill Stores Local Goodwill Stores Adecco‐Tempe Adecco‐Mesa Workforce Connection Workforce Connection Contractors & Builders * General Labor Temp Service Labor Express * Climate Pro * Fiesta Plastics * Labor Finders Able Body Labor * Allied Forces * Temporary Services Associated Staffing Comforce Staffing Service Excel Staffing Services Teramar Staffing Solutions * Trade Star Construction Services Alaskan Air * Conditioning & Heating Dial America Marketing Inc MDS Communication * Political Call Center‐PCC * American Home Maintenance * American Pacesetters * Affinitas * On Time Staffing Pro Sweep ** Jiffy Lube Address 805 East Guadalupe 930 North Alma School Road 1046 S Country Club Dr 2039 W Guadalupe Rd 106 E McKellips Rd 575 W Warner Rd 3122 S McClintock Dr 805 E Guadalupe Rd 1204 E Baseline 931 E Southern Ave 735 N Gilbert Rd 163 North Dobson Road 2113 S. 48th Street Ste 108 1454 W Main St #2 303 S Arizona Av 535 W. Iron Ave. Ste 110 216 S. Alma School Rd 470 W Ray Rd 851 E Main Street 1119 S Mesa Dr 1660 S Alma School Rd 1855 W Baseline Rd 540 W Broadway Rd 5066 S Price Rd 227 E Baseline Rd 640 S River Rd 123 E Baseline Rd, Ste 201 545 W Juanita Ave 1201 S Alma School Rd 2922 S Roosevelt St 1280 S Country Club Dr 1220 S Alma School Rd 919 N Stapley Dr 2333 W Broadway Rd http://www.jiffylubearizona.com/locations.htm City, State Zip Code Tempe, Arizona 85283 Chandler, Arizona 85224 Mesa, AZ 85202 Mesa, AZ 85202 Mesa, AZ 85201 Tempe, AZ 85284 Tempe, AZ 85282 Tempe, AZ 85283 Tempe, AZ 85283 ‐ 1454 Mesa, AZ 85204 Gilbert, AZ 85234 Mesa, AZ 85201‐6066 Tempe, AZ 85282 Mesa, AZ Chandler, AZ 85225 ‐ 7524 Mesa, AZ 85210 Mesa, AZ 85210 Chandler, AZ Mesa, AZ 85203 Mesa, AZ 85210 ‐ 8710 Mesa, AZ 85210 ‐ 3072 Mesa, AZ 85202 ‐ 9000 Mesa, AZ 85210 ‐0902 Tempe, AZ 85282 ‐ 7468 Tempe, AZ 85283 ‐ 1284 Tempe, AZ 85281 Tempe, AZ 85283 ‐ 1270 Mesa, AZ 85210 ‐ 6033 Mesa, AZ 85210 ‐ 2008 Tempe, AZ 85282 ‐ 2042 Mesa, AZ 85210 ‐ 5128 Mesa, AZ 85210 ‐ 2068 Mesa, AZ 85203 Mesa, AZ 85202‐1103 Phone 1 (480) 838‐1233 (480) 792‐0758 (480) 844‐0906 (480) 777‐3440 (480) 835‐8900 (480) 893‐7575 (480) 755‐4092 (480) 456‐8715 (480) 755‐0733 (480) 497‐2260 (480) 497‐0350 (480) 962‐7678 (602) 437‐3355 (480) 898‐1924 (480) 821‐0974 (480) 600‐0362 (480) 921‐2105 (480) 786‐5000 (480) 833‐4076 (480) 649‐6004 (480) 838‐5358 (480) 345‐1900 (480) 835‐5311 (480) 844‐4989 (480) 755‐7827 (480) 446‐7788 (480) 345‐9509 (480) 752‐8140 (480) 603‐3796 (480) 517‐3580 (480) 898‐7006 (480) 768‐2600 (480) 962‐4302 (480) 464‐8050 Phone 2 (480) 752‐2640 (480) 461‐8900 (480) 731‐3520 The following Food Box/Pantries are charity organizations to help the needy. Call before going to the location. Take something to carry food (back pack / suitcase) Maybe volunteer to help. Bring your ID & Letter dated within the last 30 Days. St Vincent de Paul Wayne Unruh Memorial Dining Room 67 W. Broadway Road Mesa, AZ 85210 (480) 649-0081 Continental Breakfast 7 days/week, 7 AM- 8:30 AM Lunch, 7 days a week, 9:30 a.m. - 11:30 a.m. United Food Bank 358 E Javelina Ave Mesa, AZ - 85210 (480) 926-4897 Purchase Pantry 8:00 AM – 2:00 PM Current fee is $17.00 and can use Food Stamps St Peter Lutheran Church-Lord's Pantry 1844 E. Dana Mesa, AZ - 85204 480-833-4251 Pantry hours: Mon, Wed 9:00-11:00 Paz de Cristo Community Center 424 W. Broadway Mesa, AZ - 85210 480-464-2370 Dinner from 5:30p-6:45p Mail Service at 4pm & 6pm Water stations available ALL day St Mark's Episcopal Church 322 N. Horne Mesa, AZ - 85203 480-964-5820 Pantry hours: Tue 10:00-11:00 Paz de Cristo Community Center -Continued Pantry hours: Supper 365 Days/Yr; 5:00 Food Boxes '2nd Tues of Month 11:00-2:00; 4th Sat of Month 11:00-2:00 Food box orders at 10am, pick up at 1pm Bus passes for Dr. appt and employment $5 Walmart gift card for prescriptions Pueblo de Dios - Community Distribution 59 S. Horne Mesa, AZ - 85204 602-309-5898 Pantry hours: Thu 8:00-11:00 Seventh Day Adventist Church - Mesa 27 N. Lyn Rae Drive Mesa, AZ - 85213 (602) 258-9951 Pantry hours: Sat 1:00-3:00 Lutheran Social Service of Southwest 5946 E. University Dr. Mesa, AZ - 85205 480-654-4539 Pantry hours: Mon,Wed,Fri. 9:00-11:30 Manna Food Bank - Without Walls Christian Center 756 W. Main St. Mesa, AZ - 85234 480-838-2587 Pantry hours: Mon-Tue 7:00 am; Wed 6:30 am; Fri 8:00 am; Sat 6:30 am; 8:00 am Guadalupe Iglesia Cristiana El Buen Pastor 950 W. 8th Ave Mesa, AZ - 85210 480-964-0014 Pantry hours: Sun 1:00 Foundation Home 756 W. Main Street Mesa, AZ - 85201 480-242-1813 Pantry hours: Mon-Fri 9:00-5:00 Christ the King Catholic Church-Hope Program 1616 E. Broadway Rd. Mesa, AZ - 85204 480-964-1719 Pantry hours: Tue 10:30-12:00; Thu 5:00-6:30 Red Mountain United Methodist Church 2936 N. Power Road Mesa, AZ - 85215 480-981-3833 Pantry hours: Mon,Tue,Thu 9:00-4:00; Wed,Fri 9:00-3:30; Salvation Army - Mesa 241 E. 6th St., building 3 Mesa, AZ - 85201 480-833-8322 Pantry hours: Mon-Thu 8:00-11:00, 1:00-3:00; Fri 8:00-11:00 Holy Cross - Society of St Vincent de Paul 1244 S. Power Rd. Mesa, AZ - 85206 480-985-9315 Pantry hours: Mon-Sat 9:00-11:30 First Presbyterian Church 161 N. Mesa Dr. Mesa, AZ - 85201 480-964-8606 Pantry hours: Fri 10:00-12:00 CARE Partnership Opportunity Center 466 S. Bellview St. Mesa, AZ - 85204 480-833-8987 Pantry hours: Mon-Fri 6:30-5:00 Life's Destiny Christian Bible Church 2601 E. Brown Mesa, AZ - 85213 480-600-2777 Pantry hours: Tue 11:30-2:00; Call Anytime Gateway Bible Church 1621 N. Pasadena Mesa, AZ - 85201 480-834-9091 Pantry hours: Monthly 3:00-6:00 East Mesa Food Bank (Ministry of East Mesa Baptist Church) 752 S. Ellsworth Mesa, AZ - 85208 480-986-9827 Pantry hours: Sun 4:45 pm at the Church Food Pantries 9/4/2012 Page 1 of 2 Canaan Missionary Baptist Church 931-2 S. Stapley Drive Mesa, AZ - 85204 480-835-6320 Pantry hours: Every 3rd Tues 9:00-11:00 Broadway Christian Church 7335 E. Broadway Mesa, AZ - 85208 480-807-1668 Pantry hours: Mon-Tue-Wed 9am to 12pm St Mary's - Society of St Vincent de Paul 230 W. Galveston St. Chandler, AZ - 85225 480-814-7778 Pantry hours: Mon-Wed-Fri 9:00-11:30 Food Bank at Matthew's Crossing 1368 N. Arizona Ave Chandler, AZ - 85225 480-857-2296 Pantry hours: Mon-Fri 9:00-12:00 Chandler Christian Community Center 345 S. California Chandler, AZ - 85225 480-963-1423 Pantry hours: Mon 1:00-3:00; Tues-Wed-Thu 9:00-11:00; Fri. Supplemental Food Boxes 9:00-10:30 Open Arms Care Center 522 N. Gilbert Rd. #103 Gilbert, AZ - 85234 480-539-0175 Pantry hours: Mon and Wed 1:00-3:00; Tue and Thu 9:00-11:00 and 6:00-8:00 pm; Sat 9:00-11 Salvation Army - Tempe 714 S. Myrtle Tempe, AZ - 85281 480-967-8649 Pantry hours: Mon -Fri 9:00-11:00 and 1:00-3:00 Food Pantries Calvary Free Lutheran Food Pantry 590 N. 96th St. Mesa, AZ - 85207 480-981-3993 Pantry hours: Sat 10:00-12:00 Voyage Church 670 N. Arizona Ave Suite 11 Chandler, AZ - 85225 480-707-1592 Pantry hours: Sat 10:00-2:00 Salvation Army - Chandler 85 E. Saragosa Chandler, AZ - 85224 480-963-2041 Pantry hours: Mon-Tue-Thu-Fri 8:30-11:30 & 1:00-4:00 Compassion in Action 4525 S. McClintock Chandler, AZ - 85244 480-220-0602 Pantry hours: Third Fri 9:30-11:00; Third Sat 8:00-9:30 Buddhist Tzu Chi Foundation 2145 W. Elliot Rd. Chandler, AZ - 85224 480-838-6556 Pantry hours: Tue, Wed, Fri 9:30-12:00; 1:00-5:00 Divine Word Food Ministry 2115 W. Guadalupe, #103 Mesa, AZ - 85202 480-820-0224 Pantry hours: Sat 8:00-3:00 Trinity Christian Fellowship 50 S. McQueen Chandler, AZ - 85225 480-963-7698 Pantry hours: Sun 10:00-12:30 Living by the Word Community Distribution 319 N. 6th St. Chandler, AZ - 85225 480-786-0165 Pantry hours: Thu 9:30-12:00 New Life Family Church 202 S. Gilbert Rd. Gilbert, AZ - 85234 480-456-9200 Pantry hours: Mon-Thu 10:00-5:00 Tempe Community Action Agency 2150 E. Orange St. Tempe, AZ 480-350-5880 Pantry hours: Mon-Fri 9:00-12:00 Our Lady of Mt. Carmel St Vincent de Paul 2121 S. Rural Rd. Tempe, AZ - 85282 480-966-1974 Pantry hours: Mon-Sat 9:00-11:00 Abiding Savior / Shepherd's Warehouse 455 E. Continental Dr. Tempe, AZ - 85281 480-945-5250 Pantry hours: Wed and Fri By Appt Only 9/4/2012 Chandler C.A.P. 650 N. Arizona Ave Chandler, AZ - 85225 480-963-4321 Pantry hours: Mon-Fri 7:00-4:00 Vineyard Community Church 601 S. Cooper Rd. Gilbert, AZ - 85233 480-892-5828 Pantry hours: Tue-Thu 9:00-12:00 – Food Co-op Once Per Month Page 2 of 2