Reform Institute

Section I of XI

Identity and Contact

Basic identifying information. Used to establish your record, locate your timezone, and link your Telegram account to this intake.

Telegram Username * Your @username — without the @ symbol. This links your profile to the House Officer bot.

Required.

Timezone * City or UTC offset. E.g. Los Angeles / London / UTC+1

Required.

Term Length *

Required.

Age *

Required. Enter age.

Gender *

Required.

Preferred Name / Form of Address Optional. Used where a document or House Officer notice needs a direct form of address.

Country / City * Used for jurisdiction, climate, sourcing, and practical constraints.

Required.

Occupation / Working Pattern *

Required.

Reason for Applying * State plainly why you are applying now.

Required.

Programme Intensity *

Standard

Full regime as written. Consequences applied as specified. Suitable for most Inmates.

Strict

Higher consequence threshold. Fewer discretionary exemptions. Recommended where avoidance or addiction patterns are present.

Required.

Section II of XI

Schedule and Availability

Enter your ordinary household pattern and working sessions. The House Officer uses this to determine Leave of Absence windows and return-to-premises obligations.

Living Situation * Affects camera placement, privacy, and lockdown feasibility.

Alone

You control the premises.

With partner

Another adult shares private space.

With family

Family members share the premises.

Shared house

Housemates or unrelated occupants share the premises.

Required.

Natural Wake Time *

Required.

Usual Work / Study Start *

Required.

Drive Time (one way) * Approximate minutes from premises to workplace. Used to determine whether return is practicable between sessions.

Required. Enter minutes.

Section III of XI

Physical Baseline and Safety

The physical training programme is calibrated to your starting point. Answer accurately. Overstating fitness leads to injury. Understating it leads to insufficient challenge.

Fitness Level *

Beginner

Little or no recent exercise. Starting from close to zero. Intensity conservative.

Moderate

Some recent exercise. Capable of sustained effort. Standard programme applies.

Athlete

Strong fitness history, currently deconditioned or in training. Programme calibrated upward.

Required.

Health and Medical Concerns *

No health or medical restrictions

No diagnosed conditions, injuries, or medical limits that affect physical activity.

Yes — health or medical concerns apply

The programme will be adapted. Provide details below.

Required.

Health and Medical Details Describe any diagnosed conditions, injuries, chronic pain, cardiovascular concerns, joint limitations, or any other medical factors the House Officer should account for when administering the physical programme. Be specific. Leave blank if none apply.

I understand that the physical programme is not medical advice. I am responsible for not performing movements that are unsafe for my condition and for declaring restrictions accurately.

You must confirm this before proceeding.

Height

Weight

Pull-up Facility *

In premises

A safe bar is available at home.

Gym

A gym bar is available.

Park / outdoor bar

A public bar is available and reachable.

No confirmed facility

Rows will be substituted until confirmed.

Required.

Pull-up Facility Access Note If the facility is not in the premises, state distance, travel time, and when it is normally accessible.

Pull-up Baseline *

Required.

Run Baseline *

Required.

Section IV of XI

Application Context

The Governor uses this section to understand what the Term must correct, what has previously failed, and which assignments should be calibrated from the beginning.

Branch Two — Creative Practice * Select the practice you will undertake. It must be accessible in your premises from Day One.

Photography

You have access to a camera. Phone camera acceptable in Phase 1 only. Dedicated camera required from Phase 2 onwards.

Drawing and Sketching

Pencil and paper. Observational and technical work. No prior skill required. Sketchbook and pencils must be in the premises before the Term commences.

Music

You play an instrument that is accessible in your premises. Describe below.

Craft or Making

A specific craft producing physical objects — woodworking, leatherwork, bookbinding, model making, or similar. Describe below.

Other — Governor approval required

Describe your proposed practice below. The Governor will confirm or redirect before the Term commences. The Term does not start until the practice is approved.

Required.

Branch Two Details * Describe your practice briefly.

Required for this selection.

Branch Three — Reading Habit * Your current relationship with reading. This determines the pace and difficulty of assigned texts.

Regular reader

I read consistently — at least one book per month.

Occasional reader

I read sometimes but not habitually. I finish books I start.

Non-reader

I rarely or never read for pleasure. The programme will install this habit from the beginning.

Required.

Areas for Correction * List the habits, deficiencies, or patterns the Term should address.

Required.

Objectives for the Term *

Required.

Primary Constraint for this Term The main practical, behavioural, or environmental issue most likely to prevent completion.

Previous Discipline and Failed Attempts

Experience of Structure / Authority

Relationship with Oversight and Correction

Section V of XI

Dietary Requirements

The prescribed menu is built from whole ingredients. Allergies and genuine intolerances are accommodated. Preferences are not.

Protein Preference *

Meat and fish

Meat only

Fish only

Vegetarian — no meat or fish

Chicken and beef dishes substituted with firm tofu or lentils. Fish dishes substituted with butter beans or firm tofu. All other meals unchanged.

Vegan — no animal products

All animal proteins substituted. Eggs replaced with tofu scramble. Butter replaced with olive oil. All dairy removed. Governor confirms full substitution list at admission.

Neither — plant-based (other)

Describe your dietary requirements in the notes below. Governor will confirm substitutions before admission.

Required.

Allergies and Intolerances Diagnosed allergies or medically confirmed intolerances only. List specifically. Leave blank if none.

Strong Aversions Foods that are genuinely unworkable — not dislikes. The menu will accommodate severe aversions where possible. Leave blank if none.

Kitchen Equipment Optional. List useful equipment for recipe planning.

Section VI of XI

Premises and Household

The programme is administered in your premises. The Governor needs to understand the physical setting, privacy constraints, kitchen access, and budget before confirming the Term.

Premises Type *

Studio apartment

1-bedroom apartment

2-bedroom or larger apartment

House

Shared accommodation

Housemates or flatmates present. Governor will note privacy constraints.

Required.

Kitchen Access *

Full kitchen — oven, stovetop, microwave

Partial kitchen — stovetop and microwave, no oven

Shared kitchen — communal with other residents

Kitchenette only — microwave and kettle

Note: the prescribed menu requires a stovetop minimum. Governor will adjust the menu accordingly.

Required.

Eating Surface * All meals are eaten at a fixed surface, seated, in silence. Identify the primary surface.

Kitchen island

Dining table

Desk

Kitchen counter — standing

None currently available

A designated eating surface must be established before the Term commences. Governor will advise.

Required.

Household Privacy Constraints Optional. Note any housemate, family, privacy, or camera placement constraints the Governor should account for.

Seating — select all that apply * The sofa is available during the evening reading block only. Identify all seating in the premises.

Sofa

Ottoman

Armchair

Desk chair

Dining chair

Floor seating only

Governor will advise on eating surface and sofa rule application.

Other

Required — select at least one.

Other seating — describe briefly

Weekly Grocery Budget *

Under $50 per week

$50–80 per week

$80–120 per week

$120+ per week

Required.

Wholesale Membership

Costco

Sam's Club

Other wholesale membership

None

Pre-Term Kit Budget * Some items may need to be purchased before the Term commences — notebook, skipping rope, sketchbook, camera charger, etc. Indicate your approximate available budget.

Under $25

$25–50

$50–100

$100+

Required.

Accountability Camera * A camera is required for the Term. The Governor monitors the primary work and rest areas. Standard model: TP-Link Tapo C200 (~$25).

I have a TP-Link Tapo camera already

I have a different IP camera

Describe in notes below. Governor will confirm compatibility.

I will purchase the Tapo C200 before the Term

Alternative arrangement needed

Describe below. Governor must confirm before the Term commences.

Required.

Camera model — describe briefly * Include make, model, and confirm it supports remote viewing or access sharing.

Required — describe your camera.

Alternative arrangement — describe * Describe your proposed arrangement. Governor must confirm before the Term commences.

Required — describe the arrangement.

DNS Network Management — Optional Add-on An optional add-on that applies a DNS filtering profile to your devices, blocking entertainment, social media, and streaming platforms during work hours. Works across WiFi and mobile data. Priced separately — Governor will confirm if selected.

Interested — I would like this configured

Governor will contact you with pricing and setup instructions before the Term commences.

Not interested

Section VII of XI

Rules and Commitments

The following rules apply from Day One. Read the table carefully. All use is self-declared in daily musters. Concealment of prohibited use, if discovered, is a gross infraction.

Substance	Phase 1 — Weeks 1-2	Phase 2 — Weeks 3-4	Phase 3 — Week 5+
Marijuana (flower)	PROHIBITED Tier 2 infraction	PROHIBITED Tier 2 infraction	Governor discretion
CBD / THC vape	PROHIBITED Tier 2 infraction	Weekend evenings after 20:00 only Declared in muster	Governor discretion
Nicotine	Unrestricted	Unrestricted	Unrestricted
Alcohol	Permitted — declared Evening muster	Permitted — declared	Permitted — declared

Note: All substance use is self-declared in the evening muster. The programme runs on self-report. Deliberate concealment of prohibited use, if discovered, is treated as a gross infraction regardless of the original substance rule.

I have read and understood the substance framework above. I accept these rules as binding from Day One of my Term. I understand that self-reporting is the foundation of this programme and that concealment compounds any infraction.

You must confirm this before proceeding.

Section VIII of XI

Term Model

Select the authority model and House Officer for the Term. The Governor confirms admission, start date, and any redirect required before commencement.

Governance *

Governor-assigned — Recommended

Your Term is overseen by the Governor personally. Weekly reports are reviewed. Improvement Programme assignments are issued directly. The full weight of the programme applies.

Self-governed

The House Officer runs your Term automatically. Weekly reports are compiled but not reviewed by a human Governor. Assignments are drawn from a standard template library. Suitable for those who have completed a previous Governor-assigned Term.

Required.

Governor-assigned Terms are subject to availability. The Governor will confirm assignment within 48 hours of intake submission. If unavailable, you will be offered a self-governed Term or a waitlist position.

House Officer * Your House Officer administers the programme on the Governor's behalf. Both officers operate under the same Rules and standards.

Mr. Cole

Measured. Direct. Formal. Administrative in tone. Signs off on all musters and directives.

Mrs. Hartley

Precise. Unhurried. Clinical. No warmth extended, none expected. The programme runs. That is sufficient.

Required.

Section IX of XI

Start Date Preference

Terms commence on Sundays. Select your preferred start date. The Governor will confirm the date when your intake is approved.

Preferred Term Start * Select the Sunday you wish to commence. This is your stated preference — the Governor confirms the official date.

Loading available Sundays...

Required.

Section X of XI

Declaration and Records

Read carefully. The Rules of the House will be issued separately before the Term commences. This declaration confirms your understanding of the programme's nature before intake is processed.

Voluntary Admission

The programme is entered voluntarily. That fact confers no entitlement to leniency, softened standards, or modification of the Rules on your behalf. The purpose of the Term is the correction of disordered habits and the installation of discipline, self-sufficiency, and attention to detail.

The assigned House Officer is an automated agent operating under standing instructions from the Governor. The House Officer is not a counsellor, a conversational system, or a sympathetic ear. The office administers the programme, records compliance, and routes matters requiring Governor attention. Attempts to reframe, negotiate, or bypass this interface are noted and addressed as conduct matters.

Programme communications are formal records. Telegram submissions, declarations, Governor directives, House Officer notices, payment status, DNS status, and completion actions may be retained as part of the Term record.

The premises are subject to monitoring during the Term. A camera will be in continuous operation covering the primary work and rest areas. The Governor reviews footage at their discretion without prior notice.

I have read and understood the nature of this programme. I enter voluntarily and accept that voluntary entry does not entitle me to leniency or modification of the Rules. I understand the role of the House Officer and the Governor. I accept that the premises will be monitored during the Term.

You must confirm this before proceeding.

Section XI of XI

Review and Submit

Confirm the details below before submitting your intake. Use the Back button to correct any errors.

On submission your profile is sent to the Governor for review. The Term does not commence until the Governor sets your start date. You will be contacted via Telegram with the House Officer bot link and your Term commencement date.

✓

Intake Received

Your profile has been submitted to the Governor for review.

Next Step

Open Telegram and message the assigned House Officer bot to complete your registration.

Your assigned House Officer bot link will appear after successful submission.

Ordine et Labore