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Safe Environment Training

Safe Environment Training
- THANK YOU for your interest in volunteering at St. Vincent de Paul Catholic Parish. The Diocese of Fort Wayne-South Bend requires that all volunteers working with children or teenagers on a regular basis go through a screening & training process to ensure the safety of the children and teenagers at our parish & school.
  
  In order to apply to volunteer, please complete the four steps listed below. Once all four steps are completed, your application will be reviewed by the parish's Safe Environment Coordinator and, if approved, the organization that you are volunteering for will be notified.
  
  Training Modules with Catholic Mutual Group (CMG)
  
  New Volunteers:
  
  Click here and "Register for a New Account" to complete the Initial Safe Environment Training.
  
  Renewal Volunteers:
  
  DO NOT CREATE A NEW ACCOUNT. You should have received an ID and PASSWORD when you were informed that your volunteer status was up for renewal.
  Click here and "Sign In" under "Existing Accounts."
  If you have forgotten the ID or Password, please email the Safe Environment Coordinator at safe-env@saintv.org. Once you have your ID and Password, begin your training module with Catholic Mutual Group
  
  Please email a picture of your driver's license to the parish's Safe Environment Coordinator at safe-env@saintv.org.
  
  Complete and submit the Volunteer Application below.
  
  Please note that completing the application process does not guarantee that you are able to participate as a volunteer with children or teenagers at the parish or school. If you have any questions, please contact the staff member with whom you are volunteering or the parish's Safe Environment Coordinator at (260) 489-3537 x 3.
Volunteer Application
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Volunteer Status REQUIRED Please fill out this field.
  
  Volunteer Interest REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Other Names Used, Including Maiden Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Preferred Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Alternate Phone Number Maximum 20 characters Please enter a phone number.
  
  Religion
  
  Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Background Information
  
  Have you previously volunteered or been employed at a diocesan agency? REQUIRED Please fill out this field.
  
  *If Yes, please provide the following information:
  
  Name of the Agency (school, parish, etc) where you worked/volunteered: Please enter valid data.
  
  Jobs Performed: Please enter valid data.
  
  Start Date (month & year) Please enter valid data.
  
  End Date (month & year) Please enter valid data.
  
  Reason why your volunteer service/employment ended: Please enter valid data.
  
  Supervisor Full Name Please enter valid data.
  
  Supervisor Phone Number Maximum 20 characters Please enter a phone number.
  
  Have you ever been arrested or convicted of a crime that has not been expunged by court? REQUIRED Please fill out this field.
  
  *If you have ever been arrested for or convicted of a crime, other than a non-moving traffic offense, please indicate the nature, date, and place of each arrest or conviction; sentence received; sentence served; the name of any probation or parole officer; and, any other facts or circumstances that you wish to provide below.
  
  Arrest/Conviction Details
  
  Have you ever been investigated by a child protection agency? REQUIRED Please fill out this field.
  
  *If yes, please explain below:
  
  Child Protection Agency Details
  
  I certify the information contained in this application is true and complete. I acknowledge that if I am accepted as a volunteer, I have continuing obligation to immediately notify the diocese of any changes or new information referred to on this application. I authorize the diocese, its employees, and agents to undertake an investigation that it deems appropriate in connection with this application and agree to cooperate with that process. I understand that such investigation may include, among other things, conducting a criminal history check on me. I understand that the diocese is under no obligation to accept me as a volunteer. I further understand that the diocese will not accept me for a volunteer position if I fail to complete this application, or if any of the information that I have proved on it or discovered by the diocese renders me unacceptable for a volunteer position, as determined solely by the diocese. I understand that if I am accepted as a volunteer, I must complete the diocese's Safe Environment Education Process before engaging in any volunteer work for the diocese. Further, I am bound to comply with all diocesan rules, directives, policies, procedures, etc., including but not limited to those concerning Church teachings, morals, and personal conduct. I acknowledge that, in the event that I am accepted for a volunteer position, the diocese has the right to utilize my volunteer service as it deems necessary and to terminate my volunteer service at any time.
  
  I Agree Please select this field.
  
  By typing my name here and submitting this application, I certify that I am the person who is applying for the volunteer position on this application form.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Today's Date REQUIRED Please fill out this field. Please enter a date.
  
  Submit
  
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