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SE Annual Report

Archdiocese of Kansas City in Kansas

Safe Environment Program – Parish Audit Report

Compliance Audit for USCCB Charter for the Protection of Children and Youth

Parish - Safe Environment Audit Report

Step 1 of 6

16%

Church or School
Please complete the following information for each category. All fields must be completed. If there are no numbers for a group please list zero (0).
This form is due by July 20th each year.

Catholic School Children
Catholic School K-8 # Trained:*
Please enter a number from 0 to 4000.
Catholic School K-8 # Opt-Out:*
Please enter a number from 0 to 4000.
Catholic School K-8 # Absent:*
Please enter a number from 0 to 4000.
Catholic School K-8 Total Number:*
Catholic School 9-12 # Trained:*
Please enter a number from 0 to 4000.
Catholic School 9-12 # Opt-Out:*
Please enter a number from 0 to 4000.
Catholic School 9-12 # Absent:*
Please enter a number from 0 to 4000.
Catholic School 9-12 Total Number:*

Religious Education
Religious Ed K-8 # Trained:*
Religious Ed K-8 # Absent:*
Religious Ed K-8 # Opt-Out:*
Please enter a number from 0 to 4000.
Religious Ed K-8 Total Number:
Religious Ed /Youth 9-12 # Trained:*
Religious Ed /Youth 9-12 # Absent:*
Religious Ed /Youth 9-12 # Opt-Out:*
Please enter a number from 0 to 4000.
Religious Ed /Youth 9-12 Total Number:

Numbers reported should closely match participants in Virtus database. If the total number of teachers, principals/administrators, employees, or volunteers reported do not match both the number background checked and the total number trained; please list those names below each category.
Catholic School Teachers
Total Number of Catholic School Teachers
Catholic School Teachers # Trained:*
Please enter a number from 0 to 9999.
Catholic School Teachers # Background Checks Complete:*
Please enter a number from 0 to 9999.
Please enter the name(s) of any teacher not trained and/or background checked:
Catholic School Principal/Administrators
Total Number of Catholic School Principals/Administrators
Catholic School Principal/Administrators # Trained:*
Please enter a number from 0 to 9999.
Catholic School Principal/Administrators # Background Checks Complete:*
Please enter a number from 0 to 9999.
Please enter the name(s) of any principal/administrator not trained and/or background checked:
Parish/School Employees
Total Number of Parish/School Employees
Parish/School Employees # Trained:*
Please enter a number from 0 to 9999.
Parish/School Employees # Background Checks Complete:*
Please enter a number from 0 to 9999.
Please enter the name(s) of any employee not trained and/or background checked:
Volunteers
Working with Children and/or Vulnerable Adults
Total Number of Volunteers
Volunteers # Trained:
Please enter a number from 0 to 9999.
Volunteers # Background Checks Complete:
Please enter a number from 0 to 9999.
Please enter the name(s) of any volunteer not trained and/or background checked:

Parish Checklist
List of all employees (school/parish)*
- Yes
- No
All Employees Comments:
Files on all employees*
- Yes
- No
Files on all employees Comments:
Polices & background checks in files:*
- Yes
- No
Polices & background checks in files Comments:
Policies & background checks recorded:*
- Yes
- No
Policies & background checks recorded Comments:
List of all volunteers:*
- Yes
- No
List of all volunteers Comments:
Policies & background checks in files volunteers:*
- Yes
- No
Policies & background checks in files volunteers Comments:
Policies & background checks recorded volunteers:*
- Yes
- No
Policies & background checks recorded volunteers Comments:

Digital Signatures
Pastor's Name*
Auditor / Person Completing Form:*
Email for the Auditor / Person Completing*
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

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