Parish and School Safe Environment Coordinator
Reporting Forms and Resources
Safe Environment Certification Manual (includes background check policy/procedure)
Safe Environment Four-Year Plan
Resources
Reporting Forms for Audit and Compliance
New Employee Forms
Compliance Report
Use this for the December report
(due 12/31 each year) and May
report (due 5/30 each year).
Parish Worksheet
School Worksheet
Children Worksheet for Schools
Children Worksheet for Parishes
Employment Background Check Form
Response by Employer Form
Social Security Number Validation Form
BCA Letter
The following Forms are Microsoft Word documents that can be opened, completed
on your computer, saved and then emailed to the Office of Safe Environment
at jclauson@crookston.org.
The completed forms may also be printed, filled out by hand and mailed to:
Office of Safe Environment / PO Box 610 / Crookston, MN 56716.
We strongly urge you to report electronically to save paper, postage and human resources.
If you cannot open the forms above, pdf versions are below to print, fill out and mail.
All new employees are required to submit the following forms:
Additionally, all new school employees must submit:
Please Note:
Online Microsoft Word documents may
require you to “Allow” their opening. They
may also open more slowly than other
documents. If the document you choose to
open doesn’t appear, check your status bar
at the bottom of the screen to see if Micro-
soft word has opened. If so, click the icon.
If you are having technical problems with
the forms, please contact
Lhatlestad@crookston.org
Compliance Report
Use this for the December report (due 12/31 each year) and May report (due 5/30 each year).
Parish Worksheet
School Worksheet
Children Worksheet for Schools
Children Worksheet for Parishes
Safe Environment Policy
Code of Conduct