Congregational Violence Prevention Plan (CVPP)

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Name:* This field is required.
Ms.
Ms.
Mr.
Mrs.
The Hon.
The Ven.
The Rev.
The Rev. Canon
The Rev. Sr.
The Rev. Br.
The Rev. Dr.
The Very Rev.
The Very Rev. Canon
The Very Rev. Dr.
The Rt. Rev.
The Rt. Rev. Dr.
Other
Sr.
Dr.
Title
First Name
Last Name
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Phone Number:* This field is required.
Please enter a valid phone number.
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Email:* This field is required.
example@example.com
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Congregation/Affiliation (name only, no city):* This field is required.
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Church City:* This field is required.
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Does anyone else bear responsibility for this CVPP?* This field is required.
YesNo
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Name:* This field is required.
Ms.
Ms.
Mr.
Mrs.
The Hon.
The Ven.
The Rev.
The Rev. Canon
The Rev. Sr.
The Rev. Br.
The Rev. Dr.
The Very Rev.
The Very Rev. Canon
The Very Rev. Dr.
The Rt. Rev.
The Rt. Rev. Dr.
Other
Sr.
Dr.
Title
First Name
Last Name
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What is their role in the congregation:* This field is required.
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What responsibilities for this plan does this person hold:* This field is required.
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Phone Number:* This field is required.
Please enter a valid phone number.
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Email:* This field is required.
example@example.com
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We recognize that open, two-way communication between church leadership, staff, diocesan staff, and other churches, about church campus violence issues is essential to a safe and productive church campus. The following communication system is designed to facilitate a continuous flow of church campus violence prevention information between church leadership and church staff in a form that is readily understandable by all church staff, congregants, or non-church organizations utilizing the church campus. The communication system consists of one or more of the following:* This field is required.(Select as many options as applies)
New church staff, congregants, or non-church organization’s orientation includes church campus violence prevention policies and procedures
Church campus violence prevention training programs
Regularly scheduled meetings that address security issues and potential church campus violence hazards
Frequent communication between church staff, congregants, or non-church organizations and congregational leadership about church campus violence prevention and violence concerns
Ensuring that church leaders and church staff, congregants, or non-church organizations can communicate effectively and in the church staff, congregant, or other person’s first language
Posted or distributed church campus violence prevention information
Method(s) by which church staff, congregants, or non-church organization can anonymously report a violent incident, threat, or other violence concerns without fear of reprisal or adverse action.
Method(s) by which church staff, congregants, or non-church organization can non-anonymously report a violent incident, threat, or other violence concerns without fear of reprisal or adverse action.
Posted or distributed contact information for who to call for emergency response
Sharing training materials and incident reports with other churches or organizations to ensure a coordinated response to any incidents
Other
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Church staff, congregant, or other person’s concerns will be investigated in a timely manner, and they will be informed of the results of the investigation and any corrective actions to be taken. Results of investigations shall be provided via:* This field is required.(Select as many options as applies)
Updates given at safety meetings
Updates given at staff and/or leadership meetings
Updates given at meetings with other organizations sharing the facilities
Email announcements
Direct phone calls
Postings
Other
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What measures will you use to alert church staff, congregants, or non-church organizations of the presence, location, and nature of church campus violence emergencies?* This field is required.(Select as many options as applies)
Audible tone alarm (e.g. fire alarm, or panic alarm)
Visual alarm
Public Address (PA) announcements
Text alerts
Verbal Announcement
Other
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All congregations shall have an evacuation or sheltering plan. Which of these will be included in your plan?* This field is required.(Select as many options as applies)
Map(s) of evacuation routes
Location(s) of emergency exits
Instructions for sheltering in place
Safe assembly point
Procedures to assist those who speak different languages
Procedures to assist those with disabilities or mobility needs
Other
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What is the name of your local police department?* This field is required.
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What is the street address and city of your local police department?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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What is the non-emergency phone number of the police?* This field is required.
Please enter a valid phone number.
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What is the name of the church representative responsible for emergency response at your location?* This field is required.
First Name
Last Name
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What is the role of the church representative responsible for emergency response at your location?* This field is required.
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What are they responsible for?* This field is required.(Select as many options as applies)
Emergency response
Coordinating emergency response procedures
Hazard identification
Communicating with employees about the plan
Conducting safety inspections
Coordination and communication with other businesses and organizations
Other
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What is the phone number for the church representative responsible for emergency response at your location?* This field is required.
Please enter a valid phone number.
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What is the email address for the church representative responsible for emergency response at your location?* This field is required.
example@example.com
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What is the name of the secondary church representative responsible for emergency response at your location?* This field is required.
First Name
Last Name
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What is the role of the secondary church representative responsible for emergency response at your location?* This field is required.
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What are they responsible for?* This field is required.(Select as many options as applies)
Emergency response
Coordination and communication with other businesses and organizations
Hazard identification
Coordinating emergency response procedures
Conducting safety inspections
Communicating with employees about the plan
Other
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What is the phone number for the secondary church representative responsible for emergency response at your location?* This field is required.
Please enter a valid phone number.
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What is the email address for the church representative responsible for emergency response at your location?* This field is required.
example@example.com
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Do you have any other emergency response procedures?* This field is required.
YesNo
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Please list your additional emergency response procedures, using one line for each procedure.* This field is required.
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Both the Diocesan Injury & Illness Prevention Plan and the Congregational Violence Prevention Plan require periodic inspection to identify unsafe conditions and behaviors. How often will this be done?”* This field is required.(Select one)
once a month
quarterly
bi-annually
once a year
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What is the name of the designated individual who will perform periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
First Name
Last Name
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What area/department/specific location of the church campus will this individual be responsible for (i.e., building security, overall supervision, etc.)?* This field is required.
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Are there other individuals who are responsible for performing periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
YesNo
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What is the name of the designated individual who will perform periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
First Name
Last Name
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What area/department/specific location of the church campus will this individual be responsible for (i.e., building security, overall supervision, etc.)?* This field is required.
37
Are there other individuals who are responsible for performing periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
YesNo
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What is the name of the designated individual who will perform periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
First Name
Last Name
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What area/department/specific location of the church campus will this individual be responsible for (i.e., building security, overall supervision, etc.)?* This field is required.
40
Are there other individuals who are responsible for performing periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
YesNo
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What is the name of the designated individual who will perform periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
First Name
Last Name
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What area/department/specific location of the church campus will this individual be responsible for (i.e., building security, overall supervision, etc.)?* This field is required.
43
Are there other individuals who are responsible for performing periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
YesNo
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What is the name of the designated individual who will perform periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
First Name
Last Name
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What area/department/specific location of the church campus will this individual be responsible for (i.e., building security, overall supervision, etc.)?* This field is required.
46
Are there other individuals who are responsible for performing periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
YesNo
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What is the name of the designated individual who will perform periodic inspections to identify and evaluate church campus violence and hazards?* This field is required.
First Name
Last Name
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What area/department/specific location of the church campus will this individual be responsible for (i.e., building security, overall supervision, etc.)?* This field is required.
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Which of these are items that may need to be assessed during inspections as risks for church campus violence at your location?* This field is required.(Select as many options as applies)
Effective location and functioning of emergency buttons and alarms.
Procedures for reporting suspicious persons or activities.
Posting of emergency telephone numbers for law enforcement, fire, and medical services.
The need for violence surveillance measures, such as mirrors and cameras.
The exterior and interior of the church campus for its attractiveness to burglars and robbers.
Whether church staff, congregant, or non-church organization have access to a telephone with an outside line.
Whether church staff, congregant, or non-church organization have effective escape routes from the church campus.
Whether church staff, congregant, or non-church organization have a designated safe area where they can go in an emergency.
Adequacy of church campus security systems, such as door locks, entry codes or badge readers, security windows, physical barriers, and restraint systems.
Frequency and severity of threatening or hostile situations that may lead to violent acts by persons who are service recipients of our establishment.
Church staff, congregant, or other person’s skill in safely handling threatening or hostile service recipients (example: security guards).
How well our church’s leadership and church staff, congregants, or non-church organization communicate with each other.
The use of behaviors such as the "buddy" system for specified emergency events.
The availability of church staff, congregant, or other person’s escape routes.
Effectiveness of systems and procedures that warn others of actual or potential church campus violence danger or that summon assistance, e.g., alarms or panic buttons.
Any prior violent acts, threats of physical violence, verbal abuse, property damage or other signs of strain or pressure in the church campus.
Access to and freedom of movement within the church campus by non-church staff, congregants, or non-church organization, including recently separated church staff, congregants, or non-church organization or persons with whom one of our church staff, congregants, or non-church organization is having a dispute.
Frequency and severity of church staff, congregant, or other person’s reports of threats of physical or verbal abuse by church leaders or other church staff, congregants, or non-church organization.
Procedures for church staff, congregants, or non-church organization response during a robbery or other criminal act, including any policy prohibiting church staff, congregant, or non-church organization, who are not security guards, from confronting violent persons or persons committing a criminal act.
Other
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Which of these are additional procedures to correct church campus violence hazards that are identified at your location?* This field is required.(Select as many options as applies)
Ensure adequate escape routes.
Improve lighting around and at the church campus.
Establish a policy for prohibited practices, such as a no-weapons policy.
Hire security guards and have them patrol the church campus interior and perimeter.
Install security surveillance cameras in and around the church campus.
Post emergency telephone numbers for law enforcement, fire, and medical services.
Provide procedures for a "buddy" system for specified emergency events.
Limit the amount of cash on hand and use time access safes for large bills.
Post signs notifying the public that limited cash is kept on the premises and that cameras are monitoring the facility.
Install effective systems to warn others of a violent danger or to summon assistance, e.g., alarms or panic buttons.
Ensure church staff, congregants, or non-church organizations have access to a telephone with an outside line.
Provide church campus violence systems, such as door locks, violence windows, physical barriers, emergency alarms and restraint systems.
Utilize surveillance measures, such as cameras and mirrors, to provide information as to what is going on outside and inside the church campus and to dissuade criminal activity.
Ensure that church staff or other contract disciplinary and discharge procedures address the potential for church campus violence in bylaws and/or personnel handbooks.
Increase awareness by church leadership and staff, congregants, or non-church organizations of the warning signs of potential church campus violence. (example: post “Power of Hello” posters in areas where people “get ready” for worship and are easily seen by ushers/greeters, post the contact information for local responders [911 if appropriate or 10 digit number when 911 will cause unnecessary delays] and the church street address in plain site, have a code of conduct clearly visible, etc.)
Control access to, and freedom of movement within, the church campus by non-church staff, congregants, or non-church organizations, including recently discharged church staff, congregants, non-church organizations, or persons with whom one of our church staff, congregants, or non-church organizations is having a dispute.
Other
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Does your congregation have procedures after the event that are in addition to what is required by the law? Examples: Support and resources, such as counseling services, are provided to affected church staff, congregants, or non-church organization (These resources could include referrals to counseling services, information about church staff, congregant, or other person’s assistance programs, and time away if necessary.)* This field is required.
YesNo
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Please describe the other post incident procedures, using one line for each procedure.* This field is required.
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Which of the following are additional training or instruction opportunities your location will provide?* This field is required.(Select as many options as applies)
None
Church staff, congregant, or other person’s routes of escape.
How to recognize alerts, alarms, or other warnings about emergency conditions and how to use identified escape routes or locations for sheltering.
RUN – HIDE – FIGHT training, and other response training as congregation deems appropriate
Emergency medical care provided in the event of any violent act upon church staff, congregant, or other person
Post-event trauma counseling for church staff, congregant, or other person desiring such assistance.
Strategies to avoid/prevent church campus violence and physical harm, such as: How to recognize church campus violence hazards including the risk factors associated with the four types of church campus violence, Ways to defuse hostile or threatening situations.
Other
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Organized Groups:* This field is required.
Adult faith formation
Alcoholics Anonymous (AA)/Narcotics Anonymous/Twelve Step
Bible study
Boy Scouts
Brotherhood of St. Andrew
Choir
College student group
Daughters of the King
Education for Ministry (EFM)
Episcopal Church Women (ECW)
Eucharistic Ministers/Visitors
FORMA
Girl Scouts
Girl's Friendly Society
Godly Play
Good News Gardens
Habitat for Humanity
Journey to Adulthood (J2A)
Lay pastoral care (e.g. Stephen Ministry, Community of Hope)
LGBTQ group
Men's group
Neighborhood associations
Nursery
Preschool
Young adult group
Youth faith formation/Sunday school
Youth group
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Property Assets:* This field is required.
Ability to house volunteers overnight
Episcopal Cathedral
Back-up power
Classrooms
Commercial kitchen
Garden space
Gymnasium
Kitchen
Large parking lot
Large meeting space
Meeting spaces
Shower facilities
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How many individuals assisted in preparing this document?* This field is required.
Please Select
Please Select
1
2
3
4
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Preparer #1 Name:* This field is required.
First Name
Last Name
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Preparer #1 Email:* This field is required.
example@example.com
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Preparer #1 Phone Number:* This field is required.
Please enter a valid phone number.
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Preparer #2 Name:* This field is required.
First Name
Last Name
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Preparer #2 Email:* This field is required.
example@example.com
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Preparer #2 Phone Number:* This field is required.
Please enter a valid phone number.
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Preparer #3 Name:* This field is required.
First Name
Last Name
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Preparer #3 Email:* This field is required.
example@example.com
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Preparer #3 Phone Number:* This field is required.
Please enter a valid phone number.
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Preparer #4 Name:* This field is required.
First Name
Last Name
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Preparer #4 Email:* This field is required.
example@example.com
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Preparer #4 Phone Number:* This field is required.
Please enter a valid phone number.
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Name of the individual submitting this document:* This field is required.
First Name
Last Name
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Email address of the individual submitting this document:* This field is required.
example@example.com
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Phone number of the individual submitting this document:* This field is required.
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Name of the individual certifying this document:* This field is required.
First Name
Last Name
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Position/title of the individual certifying this document:* This field is required.
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Email address of the individual certifying this document:* This field is required.
example@example.com
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Phone number of the individual certifying this document:* This field is required.
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Submission date:* This field is required.
Date
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Year
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