Safe Environment Program – Parish Audit 2007
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Safe Environment Program – Parish Audit 2007

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Safe Environment Program – Parish Audit 2007 Attached for your completion is an Annual Parish Audit of the safe environment program (2 pages). This audit instrument will aid in maintaining parish and diocesan compliance with the United States Conference of Catholic Bishop’s Charter for the Protection of Children and Young People. Please follow the instructions for completion. • The individual responsible for completing the audit information must be listed as well as a contact number where the responsible person can be reached. • The information requested in this audit instrument mirrors the USCCB Audit Instrument Article 12 (Safe Environment Training), and Article 13 (Background checks) completed each year by the diocese. • The completion date for your annual parish audit is April 30, 2007. If for some reason you do not feel that you will be able to complete the audit report by that date please contact Pat Kornfeld using any of the contact methods listed below. • The annual Parish Audit Instrument is also available to be completed as an Adobe download at www.dio.org Go to Safe Environment Link and click on Parish Audit. • Pastor’s Safe Environment Verification Letter attached. This letter is also required in the USCCB Safe Environment Audit. The diocese must have on file a letter from each pastor verifying they have received and implemented all aspects of the Diocese Safe Environment training program. This is an annual ...

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Safe Environment Program – Parish Audit 2007
Attached for your completion is an Annual Parish Audit of the safe environment program
(2 pages)
.
This
audit instrument will aid in maintaining parish and diocesan compliance with the United States
Conference of Catholic Bishop’s Charter for the Protection of Children and Young People.
Please follow
the instructions for completion.
The individual responsible for completing the audit information must be listed as well as a contact
number where the responsible person can be reached.
The information requested in this audit instrument mirrors the USCCB Audit Instrument Article 12
(Safe Environment Training), and Article 13 (Background checks) completed each year by the
diocese.
The completion date for your annual parish audit is
April 30, 2007
.
If for some reason you do not
feel that you will be able to complete the audit report by that date please contact Pat Kornfeld using
any of the contact methods listed below.
The annual Parish Audit Instrument is also available to be completed as an Adobe download at
www.dio.org
Go to Safe Environment Link and click on Parish Audit.
Pastor’s Safe Environment Verification Letter
attached.
This letter is also required in the USCCB
Safe Environment Audit.
The diocese must have on file a letter from each pastor verifying they have
received and implemented all aspects of the Diocese Safe Environment training program.
This is an
annual request.
If you have any questions regarding the completion of this annual parish audit report or the Pastor’s Safe
Environment Verification Letter please contact:
Pat Kornfeld, Director of the Office for Human Resources, 217-698-8500, ext. #155, Fax # 217-698-
0802, email:
pkornfeld@dio.org.
Charter for the Protection of Children and Young People
Parish Audit 2007 – Diocese of Springfield in Illinois
Parish/School:
City
:
Pastor:
Deanery:
Individual Responsible for Completing Audit Info:
_____________________________________________
Contact Number for the Responsible Individual:
_____________________________________________
Instructions:
Please complete both pages of this audit report and return to the Office for Human
Resources by
April 30, 2007
.
The Audit may also be completed on the diocese web site at
www.dio.org
go to Safe Environment links and click on Parish Audit.
1.
For the school year 2006-2007 – Children & Youth –
Please fill-in the Parish Information column.
Include all students
(through high school)
enrolled in diocesan schools and religious education classes
(youth ministry programs are not counted
) for the 2006/2007 School year. *Also include students home
schooled.
Children & Youth
School PSR
Combined Total
a.
Total Number of Children & Youth
b.
Total Trained
c.
Total Absent on Day of Training
d.
Total
Absent due to parent
Non-Permission
e.
Total Absent due to parent
Not Responding
f..
Total Remaining to be Trained
g.
Date for completion of Training
Training Methods
V
= diocese video
I
= ICASA Agency
CL
= Child Lures
O
= Other
PS
= Public School provides instruction
(Enter all that apply)
Enter Training Method
h.
Training Method Used
- School students
i.
Training Method Used -
PSR students
j.
If training method is:
O
-Other –
Attached
a description of the program content.
PS
-Public School
Attached
, written verification (letter) identifying the school or school system
for which the program is used, the training program name and content and signed by a school
official (principal or district office official)
2.
Parent Permission for the Personal Safety Training of Students 2006/ 2007
school year.
Enter Parent
Totals
a.
Total number of parents
b.
Total parent permission forms on File.
c.
Number of parents signing permission forms refusing to allow their child to
attend training.
d.
Number of parent handbooks given to parents in 3c. and documented on file
e.
Number of parents that did not respond, or refused to sign the permission form.
f.
Number of permissions forms on which a notation was made of the parent
refusal to sign the form, or parent non response
g.
Have copies of permission forms in 3f. been forwarded to the Office for Human
Resources for recordkeeping purposes.
Explanation:
Yes
No
If no
please provide an
explanation at left