Background Check Form for Volunteers

(pdf version)

 

Background Check Form for Employees

(pdf version)

Background Check Forms and Procedure

Catholic Diocese of Dodge City

All parishes, schools, and affiliates of the Catholic Diocese of Dodge City, Kansas, effective June 15, 2003 will follow the following procedures.

1. All current employees will complete a new background check consent form immediate to hire. All new employees will complete a background check as a necessary condition of employment. The background check consent form will be that provided to the parishes, schools and affiliates by the Diocesan Chancery Office.

2. All Diocesan religious education teachers shall complete a background check consent form at least 7 days prior to serving as a religious education teacher.

3. All Diocesan volunteers who accompany children or young people (anyone under the age of 18) on overnight trips sponsored by the Diocese or its parishes, schools or affiliates, shall complete a background check consent form at least 7 days prior to the scheduled overnight trip.

4. All Diocesan Youth Group sponsors shall complete a background check consent form at least 7 days prior to serving as a Youth Group sponsor.

5. All Diocesan volunteers who serve as a coach, sponsor or assistant for any extracurricular Diocesan School and/or parish activity shall complete a background check consent form at least 7 days prior to serving as a coach, sponsor or assistant for such activity.

6. The Parish Pastor shall be responsible for ensuring that all background check consent forms are completed by those individuals identified above who are in the employ of or serve as volunteers to the Parish. The Parish Pastor may delegate this responsibility to an appropriate person, however the Pastor retains the responsibility to oversee that the procedures are being followed. The Parish Pastor or his delegate shall forward the background check consent forms for processing as set forth below.

7. The school principal shall be responsible for ensuring that all background check consent forms are completed by those individuals identified above who are in the employ of or serve as volunteers to the school. The school principal may delegate this responsibility to an appropriate person, however the school principal retains the responsibility to oversee that the procedures are being followed. The school principal or his delegate shall forward the background check consent forms for processing as set forth below.

8. The director or person in-charge of any affiliate of the Diocese shall be responsible for ensuring that all background check consent forms are completed by those individuals identified above who are in the employ of or serve as volunteers to the affiliate. The director or person in-charge shall forward the background check consent forms for processing as set forth below.

9. The Diocesan Chancery Office will provide the parishes, schools and affiliates with the appropriate training and passwords in order to enable them to submit background check consent forms for processing.

10. Background check reports will be obtained on all of the following:

  1. All new employees of the Diocese and its parishes, schools and affiliates. For purposes of these procedures, the term "employee" is defined as any person who receives a form W-2 or 1099 from the Diocese or any of its parishes or affiliates.
  2. All volunteers who have regular and ongoing contact with children and youth.
  3. All current employees.

11. All background check reports that clear with a positive report will be faxed or otherwise confidentially sent by the Safe Environment Administrator to the contact person who submitted the background check.

12. The Fitness Review Administrator and/or the Bishop will notify the parish Pastor, school principal or the director of a Diocesan affiliate whenever any report is returned with any areas of concern with regard to the employee or volunteer. All information regarding background check reports will be kept confidential and not disclosed except as set forth on the background check consent form.

13. A background check may be rendered as inconclusive due to insufficient information, etc. The Fitness Review Administrator and Bishop will confer and inform the parish Pastor, school principal or the director of a Diocesan affiliate as to their decision as to the suitability for employment or voluntary ministry.

 

Effective -- June 15, 2003 (Revised -- August 16, 2007)