Msgr. Robert Smith

Vicar General

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Phone 814-824-1130

Fax 814-824-1128

Mrs. Karen Streett


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Phone 814-824-1195

Fax 814-824-1181

Dr. Robert Nelsen

Victim Assistance Coordinator
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Phone 814-451-1521

Mission Statement

Letter from Bishop Persico

Diocesan Policies and Procedures

Policy for the Protection of Children

Code of Conduct

Communications Policy

Diocesan Review Board

Sexual Abuse of Minors by Priests and Deacons

Advisory Statement for the Report of Sexual Misconduct

Victim Assistance:

Ministry Profile – Victim Assistance Coordinator

Meet Dr. Robert Nelsen, Victim Assistance Coordinator

District Attorneys by County

Children and Youth Agencies by County

Forms: Report of Suspected Child Abuse

CY-47 Click to download form and complete by hand. To complete this form online, visit and click on the link, CY-47 Form online, in box on right side of page. Assistance will be provided to complete this form online.

CY 47D (for school employees suspected of abuse)

Safe Environment Programs

Employees and Volunteers "Creating a Safe Environment"

Application for Adults Working with Children and Youth

Arrest Conviction Report and Certification form—SCHOOLS only

Clearances—Links and Hints

Confidential Reference Form

Educator Application (SCHOOLS only)

Federal Criminal Record Check

Intent for Compliance Statement

Mandated Reporter Compliance Document

Mandated Reporter Training

Minor Age 14-17 Conduct Form

Occasional Volunteer Conduct Form

Occasional Volunteers List

Offenses Prohibiting Employment

PA Department of Human Services Child
Abuse History Certification and Waiver

PA State Police Criminal Record Check

Quick-Check Chart - Who Needs What Documentation?

Request for Federal Criminal History Record Information—SCHOOLS only

Scout Leaders and Clearances

Volunteer Driver Information Sheet

Children and Youth "Child Protection/Safe Environment Program"

Children/Youth in Religious Education Programs
Student Inservice Chart - Religious Education

Children/Youth in Catholic Schools
Student Inservice Chart - Schools

The Right of Parents to Refuse Safe
Environment Student Inservicing for their Child

Prayer Service and Lesson Outline:
Pre-school - Grade 3
Grades 4, 5 and 6
Grades 7-12

Student Inservice Records
Religious Education Programs

Catholic Schools Programs

Home-based Programs

List of County PCAR Agencies Presenting
Safe Touching and Safe Environment Programs

List of Approved Video Programs

Parents "Child Protection Parent Education/Inservice"
Religious Education Programs
Catholic Schools

Parent Inservice Material
(for all parents)
Parent Inservice Material 2016-17
Parent Inservice Material 2015-16
Parent Inservice Material 2014-15

Parent Training Packet
(for parents of students absent from the inservice)
Cover Letter
Elementary Students
Junior/Senior High Students

Parental Option Forms
Religious Education Programs

Catholic Schools Programs

Bulletin Announcements

Child Protection Policy of Diocese & Code of Conduct

Monthly Bulletin Announcements


Guidelines and Authorization for Use of Child/Youth Name, Likeness and/or Photographic Image

Annual Report Forms for Child Protection Compliance

These forms CANNOT be submitted electronically.
Please download, fill out and scan/email, fax or mail to diocesan office.

Parish Instructions

Parish Annual Report Form

School Instructions

School Annual Report Form

Additional Resources

List of Child Protection Web sites and Hotline Telephone Numbers (Contains topics listed below)
Provides excellent information for child protection online (Internet safety) and off.

  • Reporting Hotlines and Cyber Crime
  • Child Abuse/Child Protection Information
  • Internet Safety Information for Parents
  • ...For Kids and Teens
  • Internet Filtering Software
  • Media Information
  • Miscellaneous Information

Youth Confidential Release Form

Brochure: Frequently Asked Questions about Child Abuse

Brochure: Frequently Asked Questions about the Child Abuse Policy

Poster: USCCB display poster with Victim Assistance Coordinator information

Web page updated August 2016


Are you an adult involved with youth ministry in the Northern Vicariate?