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Complete this form by May 31, 2023.
* indicates response is required.
Total number of people trained at your site (June 1, 2022 - May 31, 2023) This number will not reflect the "double counting" that may be present above.
Names of Presenters for Training Sessions Please list one name per line.
Names of any clinicians who were present to support the sessions held at your ministry site Please list one name per line.
Did you cover safe environment topics with these children?
Please list below the dates and times of Recognizing and Reporting Training Sessions you have scheduled in advance for next instructional year, June 1, 2023 - May 31, 2024. (List as many as you have scheduled so they may be added to the diocesan calendar.)
Reminder: Upon completion of each training session, please issue certificates to your participants. Please send the signed post tests and the training session sign-in sheet to the Office of Child and Youth Protection. These will be added to your parish file.
Use this form to notify the Director of the Program for Child and Youth Protection of the members of the Safe Environment Team.