Policy # 1: New Member Orientation
Policy # 2: Employee Screening
Policy # 3: Volunteer Screening
Policy # 4: Reference Requirements
Policy # 5: Criminal Records Check
Policy # 6: Applicant With Criminal Sexual Abuse Record
Policy # 7: Two Adult Rule
Policy # 8: Review And Training
Policy # 9: Windows On
Doors
Policy # 10: Visiting Organization Use Of The Church Facility
Policy # 11: Reporting An Incident
Policy # 12: Government Reporting Procedures
Policy # 13: Responding To A Suspected Incident
POLICY # 1: NEW MEMBER ORIENTATION
Peace Lutheran Church will provide
to all new members, as part of the New Member Orientation Meeting, a copy of
the Child Safety Governing Policy.
Those Responsible for Implementation
Parish Relations Ministry (primary)
Life and Growth Ministry
Procedures for Implementation
1. The Child Safety Governing Policy will be included as a part of the New Member Orientation materials given to all those who join Peace Lutheran Church.
2. During the New Member Orientation meeting, key points of the policy will be highlighted verbally by a member of the Parish Relations Ministry or designee thereof.
Associated Documents and/or Forms
Child Safety Governing Policy
POLICY # 2: EMPLOYEE SCREENING
Peace Lutheran Church will employ a
screening program for all employees who work
with children and are likely to be in potentially high risk situations with
them. Examples of this would
include employees who participate in mission trips and overnight events with
children.
Those Responsible for Implementation
Parish Relations Ministry (primary)
Life and Growth Ministry
Procedures for Implementation
Application: To be used with all full-time and part-time employees, including clergy, who are likely to be in potentially high risk situations with children.
1. All applicants will complete and submit to the Parish Relations Ministry the Employment Application Form (Form A).
2. A member of the Parish Relations Ministry will serve as a member of the Interview Committee and will take detailed notes of the interview.
3. The Parish Relations Ministry member of the Interview Committee will contact the references listed on the Employment Application Form (Form A) and complete the Reference Contact Form (Form B). (See Policy # 4.)
4. All applicants will complete the Background Investigation Consent Form (Form C). Criminal record checks will be conducted by the Parish Relations Ministry member of the Interview Committee or designee thereof. (See Policy # 5.)
5. All forms, notes, and documents associated with the applicant will be collected together as part of the applicant's personnel record and filed for future reference by the Church Secretary. Form C - Background Investigation Consent Form will be considered confidential and will be kept in a locked file in the church office. Only the Parish Relations Ministry Chairperson, the Church Secretary, and the Senior Pastor will have access to the personnel files.
6. Appropriate action will be taken by the Parish Relations Ministry based on the information presented.
Associated Documents and/or Forms
Form A - Employment Application Form
Form B - Reference Contact Form
Form C - Background Investigation Consent Form
POLICY # 3: VOLUNTEER SCREENING
Peace Lutheran Church will employ a
screening program for all volunteers who work with children and are likely to
be in potentially high risk situations with them. Examples of this would
include volunteers who participate in mission trips and overnight events with
children.
Those Responsible for Implementation
Parish Relations Ministry (primary)
Life and Growth Ministry
Youth Ministry
Education Ministry
Procedures for Implementation
Application: To be used with all volunteers who are likely to be in potentially high risk situations with children.
1. All applicants will complete and submit to the Parish Relations Ministry the Volunteer Application Form (Form D).
2. A member of the Parish Relations Ministry, or designee thereof, will interview the volunteer applicant and will take detailed notes of the interview.
3. The Parish Relations Ministry member, or designee thereof, will contact the references listed on the Volunteer Application Form (Form D) and complete the Reference Contact Form (Form B). (See Policy # 4.)
4. All applicants will complete the Background Investigation Consent Form (Form C). Criminal record checks will be conducted by the Parish Relations Ministry member, or designee thereof. (See Policy # 5.)
5. All forms, notes, and documents associated with the applicant will be collected together as part of the applicant's personnel record and filed for future reference by the Church Secretary. Form C - Background Investigation Consent Form will be considered confidential and will be kept in a locked file in the church office. Only the Parish Relations Ministry Chairperson, the Church Secretary, and the Senior Pastor will have access to the personnel files.
6. Appropriate action will be taken by the Parish Relations Ministry based on the information presented.
Associated Documents and/or Forms
Form B - Reference Contact Form
Form C - Background Investigation Consent Form
Form D - Volunteer Application Form
POLICY # 4: REFERENCE REQUIREMENTS
Peace Lutheran Church requires that
all screened employees and all screened volunteers have at least three
references checked.
Those Responsible for Implementation
Parish Relations Ministry
Procedures for Implementation
1. As part of the application form (Form A or D), all applicants will provide a minimum of three (3) names to be used as references. These references are to be unrelated to the applicant either by blood or marriage.
2. A member of the Parish Relations Ministry, or designee thereof, will contact all three submitted references using the Reference Contact Form (Form B) to record all notes.
3. If a listed reference refuses to release any information to Peace Lutheran Church, this will be noted on the Reference Contact Form (Form B).
4. If a listed reference cannot be reached, this will be noted and a new reference will be provided by the applicant.
5. All information obtained from the reference contacts will be considered confidential. The completed Reference Contact Form (Form B) will be filed with the applicant's personnel file.
6. Appropriate action will be taken by the Parish Relations Ministry based on the information presented.
Associated Documents and/or Forms
Form A - Employment Application Form
Form B - Reference Contact Form
Form D - Volunteer Application Form
POLICY # 5: CRIMINAL RECORDS CHECK
Peace Lutheran Church requires that
all screened employees and all screened volunteers sign a release for a
criminal background check.
Those Responsible for Implementation
Parish Relations Ministry
Procedures for Implementation
1. All
screened employees and screened volunteers must read and sign the Background Investigation
Consent Form (Form
C).
2. A
member of the Parish Relations Ministry, or designee thereof, will submit the
request for
a criminal background check.
3. All
forms, notes, documents and information obtained from the criminal background check
will be kept in the applicant's personnel file and filed for future reference
by the Church
Secretary. This record will be
considered confidential and will be kept in a locked
file in the church office. Only
the Parish Relations Ministry Chairperson, the Church
Secretary, and the Senior Pastor will have access to the personnel files.
4. Appropriate action will be taken by the Parish Relations Ministry based on the information presented.
Associated Documents and/or Forms
Form C - Background Investigation Consent Form
POLICY # 6: APPLICANT WITH CRIMINAL SEXUAL ABUSE
RECORD
It is Peace Lutheran Church's policy
that no one with a known record who has been convicted of a sexual abuse crime
of any kind will be allowed to work with children.
Those Responsible for Implementation
Parish Relations Ministry
Procedures for Implementation
1. Upon
receiving notification that an applicant has a criminal sexual abuse record,
a member of the Parish Relations Ministry, or designee thereof, will notify
the applicant that
they will not be allowed to work with children in potentially high risk
situations at Peace
Lutheran Church. At this time the Parish Relation
Ministry representative, or designee
thereof, and the applicant will complete the Notification of Ineligibility Form
(Form
E).
2. Information
and documents concerning the applicant's sexual abuse record will be considered
confidential and will be kept in a locked file in the church office. Only the Parish
Relations Ministry Chairperson, the
Church Secretary, and the Senior Pastor will have
access to the file.
3. Persons
with criminal sexual abuse records will be encouraged to participate in ministries
of the congregation which do not involve interaction with children.
Associated Documents and/or Forms
Form E - Notice of Ineligibility Form
POLICY # 7: TWO ADULT RULE
To ensure a safe environment for our
children and to protect those who work with them from false accusations, Peace
Lutheran Church will use a Òtwo adult ruleÓ for designated activities with
children.
Those Responsible for Implementation
Youth Ministry (primary)
Education Ministry
Parish Relations Ministry
Procedures for Implementation
1. Whenever
possible activities involving children will have at least two adults present in
the
church facility. At least one of the adults will be 21 years of age or
older.
2. Whenever
possible, employees and volunteers will avoid being alone with a single child
unless visual access by another adult is possible.
3. This
policy recognizes that unforeseen and unplanned encounters between children and
adults will arise.
Associated Documents and/or Forms
None
POLICY # 8: REVIEW AND TRAINING
To ensure that the Child Safety
Governing Policy has been effectively implemented, members of the Parish
Relations Ministry will periodically review the policy and conduct training
events for the employees of the congregation and the volunteers who work with
children.
.
Those Responsible for Implementation
Parish Relations Ministry
Procedures for Implementation
1. Once
each year the Parish Relations Ministry will review the Child Safety
Governing Policy
to determine if any amendments need to be made. If amendments are
2. Once
each year a member of the Parish Relations Ministry will conduct a training meeting
on child safety for the employees and volunteers of the congregation who work
with children.
Associated Documents and/or Forms
Child Safety Governing Policy
Booklet Specifying Procedures, Forms, and Training Materials
POLICY # 9: WINDOWS ON DOORS
To provide added safety, all rooms
in our church's building, except bathrooms and storage closets, will have
windows in their doors.
.
Those Responsible for Implementation
Property Ministry (primary)
Parish Relations Ministry
Procedures for Implementation
1. A
member of the Property Ministry will conduct a periodic check of the church's
2. A
report of this check will be made to the Parish Relations Ministry by the
Property Ministry.
Associated Documents and/or Forms
None
POLICY # 10: VISITING ORGANIZATION USE OF THE
CHURCH FACILITY
Peace Lutheran Church encourages the
use of its facility by visiting organizations and opens its doors to
organizations which need space for events involving children. To ensure the
safety of all children, Peace Lutheran Church requires that visiting leaders
abide by the Child Safety Governing Policy.
Those Responsible for Implementation
Church Secretary (primary)
Parish Relations Ministry
Education Ministry
Youth Ministry
Procedures for Implementation
1. Peace
Lutheran Church will make available to the leaders of the visiting organization
its Child Safety Governing
Policy and the additional booklet which specifies the
2. Two
representatives of the visiting organization who will be present during the
Associated Documents and/or Forms
Child Safety Governing Policy
Booklet Specifying Procedures, Forms, and Training Materials
Form F - Visiting Organization Form
POLICY # 11: REPORTING AN INCIDENT
Child sexual abuse is criminal
behavior that involves children in sexual behaviors as defined by state and
federal law. All employees and
volunteers who work with children at Peace Lutheran Church are required to immediately
report any concerns related to suspected incidents of child sexual abuse to the
Parish Relations Ministry Chairperson, the President of the Church Council, or
the Senior Pastor.
Types of
sexual abuse that involve touching include but are not limited to: fondling; oral, genital, and anal penetration;
intercourse; and forcible rape.
Types of sexual abuse that do not involve touching include but are not
limited to: verbal comments;
pornographic videos; obscene phone calls; exhibitionism; allowing children to
witness sexual activity.
Those Responsible for Implementation
Parish Relations Ministry Chairperson (primary)
Senior Pastor
Church Council President
Procedures for Implementation
1. If
sexual abuse of a child is suspected, the employee or volunteer who suspects
the abuse
is required to immediately report the suspicion to the Parish Relations
Ministry
2. The
employee or volunteer will complete Form G, Report of Suspected Incident of
3. In
order to protect the individuals involved, all information regarding the
situation will
4. All
forms, notes, and documents associated with the incident will be filed and considered
confidential. These records will
be kept in a locked file in the church
Associated Documents and/or Forms
Form G - Report of Suspected Incident of Child Sexual Abuse Form
POLICY # 12: GOVERNMENT REPORTING PROCEDURES
In responding to a suspected
incident of child sexual abuse, Peace Lutheran Church will work with
appropriate government agencies in a prudent manner to ensure the safety and
dignity of the suspected victim and the person who has been accused.
Those Responsible for Implementation
Parish Relations Ministry Chairperson (primary)
Senior Pastor
Church Council President
Procedures for Implementation
1. The
following statement comes from the Wisconsin Department of Health and Family Services: ÒIndividuals whose employment brings
them into contact with children are required
by law to report any suspected abuse or neglect or threatened abuse or neglect
to a child seen in the course of their professional duties. Anyone who suspects a child is being maltreated may make such a
referral. Persons making reports
in good faith
are immune from criminal or civil liability. Reports are made to the county in which the
child or the child's family resides.Ó
2. Employees
and volunteers at Peace Lutheran Church will follow the guidelines set forth in procedure # 1.
3. Reports
of suspected child sexual abuse are to be made to the county Department of Human
Services in which the child or child's family resides. Reports in Polk County should
be made to:
Polk County Department of Human
Services
300 Polk County Plaza Suite 110
Balsam Lake, WI 54810
Office Hours: 715-485-8400
After Hours: 715-485-8300
4. The
person or persons responsible will contact legal representation, Peace Lutheran
Church's
insurance carrier (Church Mutual Insurance Company, Merrill, Wisconsin, 800-554-2642),
and the office of the Bishop of the Northwest Synod of Wisconsin (Bishop
Robert Berg, Rice Lake, Wisconsin, 715-234-3373), to notify them of the report
of suspected child sexual abuse.
Associated Documents and/or Forms
Form G - Report of Suspected Incident of Child Sexual Abuse Form
POLICY # 13: RESPONDING TO A SUSPECTED INCIDENT
Following the report of a suspected
incident of child sexual abuse, Peace Lutheran Church will follow established
procedures when responding to inquiries made by the general public, the media, and/or members of the congregation. First
and foremost, these procedures will protect the rights of the suspected victim,
as well as the rights of the person who has been accused.
Those Responsible for Implementation
Parish Relations Ministry Chairperson (primary)
Senior Pastor
Church Council President
Procedures for Implementation
1. If an accusation of child sexual abuse is made, the Parish Relations Ministry Chairperson, the Senior Pastor, and the Church Council President will meet to formulate a prepared statement.
2. This prepared statement will be used to respond to inquiries made by the general public, the media, and/or members of the congregation.
Associated Documents and/or Forms
None