Audit Form 2023-2024

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. Alternately, you can mail the Audit Compliance Letter to the Diocese Safe Environment Office.

Download Audit Compliance Letter Template Here

Mailing Address:
The Catholic Center
Safe Environment Office
800 West Loop 820 South
Fort Worth - 76108.

Please upload the completed Audit Compliance Letter here*

Browse Audit Compliance Letter

(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 (CORESCREENING) 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*

This is my electronic signature*

Name of individual who submitted the above information*

Email*

Phone*

Note: If you want to continue your form later, please press the Save and Continue button. June 5, 2024 is the deadline to submit this form.

AUDIT FORM 2023 - 2024