Diocese of Raleigh Safe Environment Annual Report

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June 1, 2019 - May 30, 2020

Complete this form by May 30, 2020.

* indicates response is required.

A confirmation of this form submission will be emailed to the pastor.
Number of “Recognizing and Reporting” training sessions completed between June 1, 2018 and May 30, 2019
Number of People Trained
Please note: It is possible for a person to be represented in more than one category (a parent may also be an employee). The categories below match the audit from the United States Conference of Catholic Bishops.
Vowed Religious

Total Number of People Trained (June 1, 2019 - May 30, 2020)
This number will not reflect the "double counting" that may be present above.

Number of people renewing their training (June 1, 2019 - May 30, 2020)

Names of Presenters for Training Sessions
Please list one name per line.

Names of any clinicians who were present to support the sessions
Please list one name per line.

visual aids
Which visuals did you use for your presentation?
All presentations need a visual component.
How many children in pre-k through grade 12 were enrolled in parish faith formation for the 2019-2020 instructional year?
Did you cover safe environment topics with these children?

Did you cover safe environment topics with these children?

Are you confident your parish/ministry site is using the background check systems correctly?
What is the approximate number of volunteers identified as Level A?
What is the appropriate number of volunteers identified as Level B?
What is the number of volunteers identified as Level C?
Would your parish/ministry site volunteer to host a Deanery “Train the Trainer” meeting for Safe Environment Training during 2020-2021?
If yes, would that be in Spanish or English?
If you already have a suggested date, what is it?
Please share your ideas for improvements to the safe environment efforts of our diocese.
You are also encouraged to share any initiatives from your parish safe environment efforts.
Training Sessions Scheduled for Next Instructional Year

Please list below the dates and times of Recognizing and Reporting Training Sessions you have scheduled in advance for next instructional year, June 1, 2020 - May 30, 2021. (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.

Safe Environment Training Sessions

Save Environment Training Sessions
more session(s)
Would it help to have the Office of Child and Youth Protection meet with, or help re-organize, your parish safe environment team during 2020-2021?
Is your parish safe environment team able to access the safe environment materials and the criminal background check system via the Internet?

Safe Environment Team Membership Form

Use this form to notify the Director of the Program for Child and Youth Protection of the members of the Safe Environment Team. 

Please include site names and cities.
Lead Contact for Safe Environment
Safe Environment Team Members
Please list all members of your Safe Environment Team.
Team Member
Does this member work with background check database?
Is this member a safe environment trainer?
more team member(s)
If you have additional comments, please add them here.