Audit Form 2024-2025

Questions? Please contact Alma Garcia, at agarcia@fwdioc.org.

Please enter the entity name*

ParishSchoolCampus Ministry

Please select your parish*

Please select your school*

Please select your campus ministry*

Please enter the number of: [Do not count individuals more than once]

Priests*

Priest Name(s)*

Deacons*

Deacon Name(s)*

Employees / Staff*

Volunteers*

Number of Catholic School Staff *

Please include paid: Principal, teachers, coaches and administrators only (those at your local school).

Audit Compliance Letter – When entering the information online, you can upload the Audit Compliance Letter to the Bishop.

Download Audit Compliance Letter Template

Please upload the completed Audit Compliance Letter*

Attach Audit Compliance Letter Here

(Please choose file types - pdf, doc, docx only.)

Are all of the sign-in sheets (for your parish/school) kept on file for the Safe Environment Awareness sessions for adults?*

YesNo

If no, please explain*

Is there a completed volunteer application for every volunteer?*

YesNo

If no, please explain*

Does every volunteer have a VIRTUS profile?*

YesNo

Is there a signed Code of Conduct Agreement form kept for every volunteer and every employee (either electronically or paper copy)?*

YesNo

Are results from a National Criminal search (CORE SCREENING) kept for every adult volunteer and every employee (either electronically or paper copy)?*

YesNo

Are results from reference checks kept for of every adult volunteer and every teen volunteer?*

YesNo

If no, please explain*

Does every volunteer and employee know how to contact Child Protective services?*

YesNo

Does every volunteer know how to report a Confidential Notice of Concern regarding inappropriate boundary violations?*

YesNo

Are there at least two Safe Environment certified adults or 1 Safe Environment certified adult and two safe environment trained teens in Religious classes and/or activities?*

YesNo

If no, please explain*

Does the Pastor/Principal/Supervisor know how to contact the Victim Assistance Ministry, if sexual misconduct is suspected?*

YesNo

Is there a completed employee application for every employee?*

YesNo

Are results from reference checks in the file of every employee?*

YesNo

If no, please explain*

Does an employee know how to report a Confidential Notice of Concern regarding inappropriate boundary violations?*

YesNo

Is there documentation promoting/advertising Safe Environment awareness opportunities?*

YesNo

If no, please explain*

Has the Empowering God’s Children program been made available to all families in the parish programs and/or Catholic schools?*

YesNo

If no, please explain*

Is the parish/school reinforcing the information in the Empowering God’s Children program in its classes?*

YesNo

If no, please explain*

Are signed parental Empowering God’s Children program opt-out letters on file?*

YesNo

Were resource materials provided to parents whose children opted-out of the Empowering God’s Children program?*

YesNo

Additional Comments/Notes (Please list the name of all parishes, if your church is a part of cluster parishes.)

Safe Environment Coordinator (SEC) Name*

Email of SEC*

Phone Number of SEC*

Name of individual who submitted the above information*

Email*

Phone*

This is my electronic signature*

Note: If you want to continue your form later, please press the Save and Continue button. May 30, 2025 is the deadline to submit this form.

AUDIT FORM 2024 - 2025