Safe Environment Coordinators

Reporting Forms for Audit and Compliance

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 This email address is being protected from spambots. You need JavaScript enabled to view it. .

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.

document Compliance Report (44 KB)Use this for the December report (due 12/31 each year) and May report (due 5/30 each year).

document Parish Worksheet (44 KB)

School Worksheet

Children Worksheet for Schools

Children Worksheet for Parishes

If you cannot open the forms above, pdf versions are below to print, fill out and mail.

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

New Employee Forms

All new employees are required to submit the following forms:

Employment Background Check Form

Response by Employer Form

Social Security Number Validation Form

Additionally, all new school employees must submit:

BCA Letter

Resources

Safe Environment Certification Manual (includes background check policy/procedure)

pdf Safe Environment Policy - 2015 (137 KB)

Code of Conduct

Diocese of Crookston Bullying Policy

pdf Diocese of Crookston Suggested Guidelines for Technology (5.91 MB)

pdf New Person's Guide - Form and Sign Off (9.79 MB)

pdf Acknowledgement and Consent Form (1.35 MB)

pdf Safe Environment Component B 2016 Hard Copy (74 KB)pdf
(51 KB)

 

 

** 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 Microsoft word has opened. If so, click the icon. If you are having technical problems with the forms, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Jim Clauson
Safe Environment Coordinator

jclauson@crookston.org
218/281-4533, ext. 423

Mailing Address:
Office of Safe Environment
Diocese of Crookston
PO Box 610
Crookston, MN 56716