Catholic Schools Children Safe Environment Report

Due by January 31st

It is your responsibility to ensure that all children are trained during the school year. Children not trained by January 31st, will be expected to be trained by March 31st and a new report submitted.

Please direct any questions to Donielle Kube at dkube@dioceseofmarquette.org

School:*

Safe Environment Coordinator:*

Faith Formation Coordinator:*

If you were training children from nearby parishes, please indicate below which parishes combined thier training with yours:*

This is the _____________ report for this school year.*

FirstMake-up trainingOther

If you are reporting make-up training, are you reporting all children trained or just those who missed the training earlier in the year?*

All children trained in this school yearJust those who missed the initial training sessionOther

Type number of students into fields*

	Total Number of Children in the Class	Total Children Opted Out of Training
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

Total Number of Children who have Opted Out of the Training*

Do you have a signed parental opt-out form in the student's file?*

YesNo

Total Children Actually Trained: (Total number of children in the class minus total number of children who opted-out)

# of Children Who Missed the Original Training Session in the Fall and Are Currently UNTRAINED*

What is the plan for training children who missed the training?*

Mailing materials home is not a solution

Date training was completed*

Date of Form Submission*

The materials were: *

Comments: