Seminarian Application – Step 5: Policies & Safe Environment
This step takes about 20 minutes. Read each policy, check the box to acknowledge it, then sign once at the end.
About You
Applicant ID
Applicant's Full Name
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First Name
Middle Name
Last Name
Email
*
example@example.com
Policies to read
Please read the following before continuing: Safe Environment Policy: https://portal.dsbvocations.org/_files/ugd/f2ada9_08f19f00588444f28da7e2578d28f9d8.pdf California Child Abuse & Neglect Reporting Law: https://portal.dsbvocations.org/_files/ugd/f2ada9_504ad46b338a4dba8e7d13ca96037be7.pdf
I have read the Diocese of San Bernardino Safe Environment Policy.
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I have read the Diocese of San Bernardino Safe Environment Policy.
I have read the California Child Abuse & Neglect Reporting Law.
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I have read the California Child Abuse & Neglect Reporting Law.
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Affidavit of Compliance
1. Training for the Diocese of San Bernardino Safe Environment Policy for the Protection of Children & Young People, the Code of Pastoral Conduct, and the California Child Abuse and Neglect Reporting Law. As an employee or volunteer, I have successfully completed the required safe environment training. A copy of the certificate for this required training can be found on the Virtus/CMG Connect website. I understand and will comply with these policies.
According to California law, I am a mandated reporter
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Yes
No
If Yes: I understand and will comply with Section 11166 of the Penal Code of the State of California. The law requires mandated reporters, if there is knowledge or suspected knowledge of child abuse of a minor, to report to the appropriate State Agency immediately or as soon as practically possible by telephone, and to send a written report within 36 hours.
If No: I understand by law I am not a mandated reporter, but if I become aware of child abuse or neglect I know the procedures to follow and will follow them. The Diocesan Safe Environment Policy regards me as a discretionary (Policy) Reporter.
3. Confidentiality (Code of Pastoral Conduct #2): The persons, conversations, materials and data with which I come in contact are to be treated in a confidential and professional manner, used only in the official business of the Catholic Diocese of San Bernardino. Violations can result in disciplinary action and/or dismissal.
I agree to this Affidavit of Compliance.
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I agree
Harassment Policy
The Diocese of San Bernardino prohibits all forms of harassment, including sexual harassment. Seminarians are expected to treat everyone with dignity and respect and to report harassment to the Vocations Director.
I have read and agree to follow the Diocese of San Bernardino Harassment Policy.
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I have read and agree to follow the Diocese of San Bernardino Harassment Policy.
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Training & Live Scan
Complete your CMG Connect safe environment training. Live Scan request form: https://portal.dsbvocations.org/_files/ugd/f2ada9_28a5d831c1544b61acebaeebdc607e4d.pdf CMG Connect instructions: https://portal.dsbvocations.org/_files/ugd/f2ada9_0200087e8b3646d8a5be10860160da5f.pdf
Upload your CMG Connect certificate of completion
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Request your Live Scan fingerprinting.
Have you completed Live Scan?
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Yes, completed
Scheduled
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Date scheduled
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Signature
Applicant Signature
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Date
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
For Office Use
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Submit
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