Facebook Instagram YouTube Vimeo

Parish ECF Activity & Safe Environment Report- Submission form

- Safe Environment
  - Protect Our Children
  - Parish ECF Activity & Safe Environment Report

The following form should be completed by October 15, January 15, and May 15 of each year.
The maximum number of form submissions has been reached. This form is currently not available.
- PART A: ECF ACTIVITY IN YOUR PARISH
- Parish Name & Location (could also add pastor/admin here) REQUIRED Please fill out this field.
- Pastor/Administrator REQUIRED Please fill out this field.
- Email REQUIRED Please fill out this field. Please enter valid data.
- Does this parish have children or teens participating in ECF at this time? REQUIRED Yes No Please fill out this field.
- Does this parish have adults participating in faith enrichment classes at this time? REQUIRED Yes No Please fill out this field.
- Does this parish sponsor other activities where youth participate? REQUIRED Yes No Please fill out this field.
- IF YOU ANSWERED "NO" TO ALL OF THE ABOVE QUESTIONS, THERE IS NO NEED TO CONTINUE COMPLETING THIS FORM. PLEASE SELECT SUBMIT.
  
  IF YOU ANSWERED "YES" TO ANY OF THE ABOVE QUESTIONS, PLEASE CONTINUE COMPLETING THE FORM, FILLING OUT EACH FIELD COMPLETELY, AND CLICK SUBMIT.
- ECF Coordinator Name Please enter valid data.
- Email Please enter valid data.
- Phone Please enter valid data.
- Does your parish utilize in person classroom meetings for catechesis? Yes No Under Construction
- Does your parish utilize virtual meetings (ie Zoom) for catechesis? Yes No Under Construction
- Does your parish utilize home school catechism curriculum taught by parents for catechesis? Yes No Under Construction
- Does your parish utilize e-mail correspondence with students and/or parents for catechesis? Yes No Under Construction
- Does your parish utilize telephone calls with parents or students for catechesis? Yes No Under Construction
- Does your parish utilize other methods for catechesis? Yes No Under Construction
- What is going well?
- What barriers/challenges to providing ECF instruction have you identified?
- Describe other method(s) of catechesis, if any:
- What catechism textbooks do you use in your children's and teens ECF program? God with Us book series Eparchy of Parma High School Curriculum Other
- If you checked other, please specify: Please enter valid data.
- Adult Catechism Class Information (ages 18 years and older)
- Topic: Please enter valid data.
- # of Participants Please enter valid data.
- Text(s) Used Please enter valid data.
- What resources, if any, do you need help in obtaining for your ECF program? (For example, electronic devices, Wi-Fi connectivity, virtual meeting platform such as Zoom, etc.)
- 
  PART B: SAFE ENVIRONMENT REPORT
- How many individuals do you need to add? (include priests, deacons, chaperones, drivers, etc. who support your parish youth activities) REQUIRED Please fill out this field.
  
  Volunteer: 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 16
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 17
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 18
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 19
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
  
  Volunteer: 20
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Assignment Currently Teaching Currently Substitute Other Role
  
  Other Role (Specify): Please enter valid data.
  
  2022-2023 Grade Level Please enter valid data.
  
  # of children in the parish who are eligible to attend this class Please enter valid data.
  
  # of children in the parish who are participating in this class Please enter valid data.
  
  VIRTUS/Safe Environment Training Most Recent Completion Date Please enter a date.
  
  Date of Most Recent Background Check Please enter a date.
Submit

Parish ECF Activity & Safe Environment Report- Submission form

The following form should be completed by October 15, January 15, and May 15 of each year.

IF YOU ANSWERED "NO" TO ALL OF THE ABOVE QUESTIONS, THERE IS NO NEED TO CONTINUE COMPLETING THIS FORM. PLEASE SELECT SUBMIT. IF YOU ANSWERED "YES" TO ANY OF THE ABOVE QUESTIONS, PLEASE CONTINUE COMPLETING THE FORM, FILLING OUT EACH FIELD COMPLETELY, AND CLICK SUBMIT.

IF YOU ANSWERED "NO" TO ALL OF THE ABOVE QUESTIONS, THERE IS NO NEED TO CONTINUE COMPLETING THIS FORM. PLEASE SELECT SUBMIT.

IF YOU ANSWERED "YES" TO ANY OF THE ABOVE QUESTIONS, PLEASE CONTINUE COMPLETING THE FORM, FILLING OUT EACH FIELD COMPLETELY, AND CLICK SUBMIT.