Forms - Download Documents
Safe Environment Forms
The following forms are offered for you to download, to assist you in administering the Safe Environment program in your parish, school, religious education program, or agency.
Policy FAQ's
These answers to the most "Frequently Asked Questions" can provide you with a simple and easy reference to some of the most common issues that arise in this program.Procedures for Employees
Procedures for Volunteers
You can use these checklists to help you keep track of the various Safe Environment requirements for new staff members.Safe Environment Questionnaire
Safe Environment Questionnaire (Spanish)
Addendum to Catechist Application (this form may be used by catechists who have already filled out their Catechist Application, in order to certify that they have received the Code of Conduct and Sexual Misconduct Policy)
These documents should be used as part of your personnel screening process. They serve both as an application for service and an acknowledgement that the applicant has received the Code of Conduct and the Sexual Misconduct Policy Summary.
Background Check Authorization Form
Background Check Authorization Form (Spanish)
These forms should be completed by all volunteers and employees. It authorizes our Office to conduct a background check to verify an applicant's identity and to determine if they have a criminal record. Please note that we never request any financial information about any applicant. Background Check Information Sheet
Background Check Information Sheet (Spanish)
These documents outline our Office policies on the background checks, and summarize your legal rights under the federal Fair Credit Reporting Act. They should be given to everyone who fills out a background check authorization form.Sexual Misconduct Policy Summary
Sexual Misconduct Policy Summary (Spanish)
Code of Conduct (Spanish)
The Sexual Misconduct Policy and the Code of Conduct are the backbone of our efforts to ensure a safe environment for children. They clarify the proper boundaries and behaviors for our programs. The Summary of the Policy and the Code of Conduct should be given to all our personnel.VIRTUS Registration Instructions
Safer Spaces Training Video Sign-In Sheet
Safer Spaces Booklet (to be given to those attending a session)
These forms will be useful in arranging for and conducting Safe Environment training programs.Roster Instructions
Blank Rosters (this form is only for use by institutions that perform their own background checks)
These forms will help you to keep track of your personnel, and to provide the Safe Environment Office with up-to-date and accurate rosters.Reporting Procedures
Reporting Procedures (Spanish)
It is vitally important that we respond appropriately to all reports of sexual misconduct. These instructions will provide you with the necessary guidance in doing so.
Safe Environment Coordinator FormThis form may be used to name a Safe Environment for your parish, school or religious education program.
Parent Fact Sheet (English) Parent Fact Sheet (Spanish)These Fact Sheets contain information for parents, and are intended to accompany the Safe Environment lessons received by the children in our schools and religious education programs.
Opt-Out Form (Religious Education)
If parents choose not to have their child participate in the safe environment training that is mandated for all our schools and religious education programs, they must sign a form acknowledging that information about preventing child sexual abuse was made available to them.
Catechetical Annual ReportThis form should be used by Directors/Coordinators of Religious Education to make their annual report regarding the implementation of the children's curriculum.
