Safe Environment Forms and Links

Diocesan policy requires that all personnel including a priest, religious, deacon, seminarian, pastoral minister, employee, school employee, parish employee, contract employee must possess clearances and trainings listed under their appropriate heading. This includes any individual 14 years of age or older in a paid position as an employee responsible for the welfare of a child or having direct contact with children. Additionally, any volunteer (unpaid, regular and occasional) who has direct contact with or responsibility for children must also possess clearances and trainings listed under their appropriate heading.

General resources:
Offenses Prohibiting Employment
Quick- Check Chart - Who Needs What Documentation?
Scouting and Child Protection Mandates



For required documentation click on the link that best describes you:




Priest, Religious, Deacon, Seminary Student, Priest/Diaconate Candidates


Clearances

PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (fingerprinting)


Diocesan Creating a Safe Environment Inservice (online) Video not compatible with Internet Explorer
Statement of Intent for Compliance
Mandated Reporter Compliance Document
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new Seminarians/Diaconate Candidates)

Non-School Employee

Anyone who is paid on a full time, part time or stipend basis and has direct
contact with or responsibility for children.


Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (fingerprinting)

Diocesan Creating a Safe Environment Inservice (online) Video not compatible with Internet Explorer
Employment Application for Working with Children
Statement of Intent for Compliance
Mandated Reporter Compliance Document
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new employees)


Non-School Volunteer

Adults who perform a parish related service in which they have direct volunteer contact
with or responsibility for children on an unpaid full or part time basis.

Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Affidavit
Federal Criminal History Record (Click here to see if fingerprinting is required for you)

Diocesan Creating a Safe Environment Inservice (online) Video not compatible with Internet Explorer
Volunteer Application for Working with Children
Confidential Reference Form
Statement of Intent for Compliance
Mandated Reporter Compliance Document
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new volunteers)


School Employee

Anyone who receives any compensation from the school, including stipends

Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (fingerprinting)


Educator Application (SCHOOLS only) & References
Employment Application for Working with Children (all others)
Confidential Reference Form
Arrest Conviction Report and Certification form
Sexual Misconduct/Abuse Disclosure Release Form (Act 168)
Statement of Intent for Compliance
Mandated Reporter Compliance Document
Diocesan Creating a Safe Environment Inservice (online) Video not compatible with Internet Explorer
(State) Mandated Reporter Training
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new employees and educators)
See Catholic Schools Office for additional requirements and forms


School Volunteer

Adults who performs a school related service in which they have direct volunteer contact with or responsibility for children on an unpaid full or part time basis.

Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (Click here to see if fingerprinting is required for you)
Affidavit

Volunteer Application for Working with Children
Confidenti al Reference Form
Statement of Intent for Compliance
Mandated Reporter Compliance Document
Diocesan Creating a Safe Environment Inservice (online) Video not compatible with Internet Explorer
(State) Mandated Reporter Training
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new volunteers)
See Catholic Schools Office for additional requirements and forms


Non-School & School Occasional Volunteer

Adult who performs a parish/school related service for children on an irregular basis.

Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (Click here to see if fingerprinting is required for you)

Be listed on the Occasional Volunteers List form (MyDioErie)
Occasional Volunteer Conduct Form (yearly)
Mandated Reporter Compliance Document
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new volunteers)


Youth ages 14-17 receiving salary or stipend who supervise other children

Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (Required if not a 10-year resident of PA)
Employment Application for Working with Children
Minor Age 14-17 Conduct Form


Coaches

Adults who are paid for their coaching services and those who volunteer in a coaching
position.

Clearances for paid coaches
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (fingerprinting)
Then see below - "Paid and volunteer coaches complete the following"

Clearances for volunteer coaches
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (Click here to see if fingerprinting is required for you)
Affidavit

Paid and volunteer coaches complete the following:
Employment Application for Working with Children
Volunteer Application for Working with Children
Confidential Reference Form
Statement of Intent for Compliance
Mandated Reporter Compliance Document
Diocesan Creating a Safe Environment Inservice (online) Video not compatible with Internet Explorer
(State) Mandated Reporter Training
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new coaches)
Paid coaches see School Employee category above for additional requirements.


Contracted Employees

Contracted employees (e.g., cafeteria service, bus service) clearances will be maintained in the same way as any other school employee. Verification will be maintained in a secure locked file in the parish, school, agency or institution.

Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (fingerprinting)
Sexual Misconduct/Abuse Disclosure Release Form (Act 168)


Volunteer Drivers

Adults over the age of 21 who will be transporting minors to/from a parish/school
activity/event In their personal vehicle or in a rented vehicle.

Must be 21 years of age
Volunteer Driver Information Sheet
Clearance from the Office for the Protection of Children and Youth (effective 7-1-2018 for new drivers)

Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (Click here to see if fingerprinting is required for you)
Affidavit


Boy Scouts

Boy Scout Leaders/Volunteers in troops who are chartered by or use parish or school facilities need documentation that the adult is registered with the Boy Scouts of America (registration by the Boy Scouts indicates that clearances and inservicing are completed, which are accepted for diocesan compliance). No other diocesan forms are necessary.


Girl Scout Leaders/Volunteers

Copies of or verification from Scout Office of:
Clearances
PA State Police Criminal Record Check
PA Child Abuse History Certification
Federal Criminal History Record (Click here to see if fingerprinting is required for you)
Affidavit

Diocesan Creating a Safe Environment Inservice (online) Video not compatible with Internet Explorer