Safe Sanctuary Policy

Pastor: Richard Jackson

6800 Arabia Rd

Lumber Bridge, NC 28357

Corner of Arabia Rd and Old Wire Rd in Hoke County

 

 

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Safe Sanctuary Policy

Sandy Grove UMC

UNITED METHODIST CHURCH

Rev. Richard Jackson, Pastor

SAFE SANCTUARY

POLICY

  Code of Conduct

 
Leaders & participants at Parker UMC realize we are in God’s house and commit our conduct to be at the highest standards:

  • Practice Christian love & kindness for one another
  • Courtesy and respect in language and actions
  • Self-discipline and control
  • Integrity and honesty with ourselves and others
  • Diligence in effort and attention, seeking to make the most of God given talents and abilities
  • Teamwork and good sportsmanship
  • Obey and respect leaders
  • Dress in good taste
  • Refrain from any possession or actions that hurt or damage any person or property

 

Table of Contents

            Section                                                                       Page

Code of Conduct ____________________________________2

Purpose for this policy ____________________________4

1. Volunteer Screening Procedures __________________4

2. Teenage Volunteers ______________________________5

3. Leadership Development Procedures _______________5

4. Personal Safety Procedures ______________________6

     a. Supervision Ratios _________________________6

     b. Nursery ____________________________________6

     c. Record Keeping _____________________________7

     d. Restrooms __________________________________8

     e. Sleepovers/Lock-ins ________________________8

     f. Sick Children ______________________________8

     g. Emergencies ________________________________8

     h. Parties/Field Trips ________________________9

     i. Worker Behavior ____________________________9

5. Staff and Volunteer Support _____________________10

6. Reporting Accidents/Injuries ____________________10

7. Child Abuse Prevention and Procedures ___________10

8. The Responsibility to Report ____________________11

9. Other Types of Harm _____________________________11

10. Improper or Inadequate Supervision _____________12

11. Hazardous Activities ___________________________12

     Appendixes

Parker UMC Policy of Sexual Ethics__________________13

Children’s Ministry Information Form (front) _______14

Children’s Ministry Information Form (back) ________15

Incident Report Form (front)________________________16

Incident Report Form (back)_________________________17

Abuse Incident Report Form _________________________18

Checklist for Response to Allegation of Abuse ______19

 

Church Ministry Policy and Procedures

Regarding Child Safety

This policy is designed to assist church leaders in recruiting volunteers and to provide guidelines for the safety of children and youth under the age of 18, as well as guidelines for the support of staff and volunteers.

Purpose for this policy

Churches need to be prepared! This is the legal reason for creating safety policies, but there’s a deeper, more significant reason – to protect the children. Policies are only printed expressions of the value placed on children. If the only reason for safety policies is to protect the organization, the Church has missed God's love for children.

Some people may think that our Church is too small or that, our Church “knows” everyone, to worry about these safety problems. Remember it’s much easier to make plans and develop safety policies as a means of prevention, rather than wait until they are needed as a reaction to an abuse case. Some churches tend to take the biblical concept of trusting God to an extreme. They think nothing bad can happen to Christians. We must not be unwise regarding children’s safety. There is no automatic protection from evil for the faithful. We’re to watch and be ready. Accidents will always happen. There will always be unforeseen circumstances that need to be handled. But the Church should build into its organization sturdy safety-policy fire blocks into the walls of its ministry to protect children.

1. Volunteer Screening Procedures

If the staff is aware of any reason why a person would not be suitable for a volunteer position, further investigation and discussion will take place and a final approval, or denial, of the name will be made. If there are medical reasons for a potential volunteer to not be suitable as a leader/helper, he/she will be paired with another volunteer.

In the case of a potential volunteer who is new to the church family, a confidential dialogue will take place to determine interest, experience, and the children/youth ministry readiness of the individual. This dialogue will be conducted by a member of the Safe Sanctuary Committee or may be done by one of the pastoral staff. A confidential report will be given at the next Pastor/staff-Parish Committee meeting to determine the suitability of the candidate. If required, further dialogues will take place. New potential leaders for any program will not be assigned to work alone, but will be paired with leaders who are familiar with the program.

From time to time, parent volunteers are needed to assist in a particular program's event. When a parent who is not an active participant in the church congregation volunteers, he/she is to be screened by the coordinator of the program and teamed up with a leader who has been approved. Under no circumstances is a parent volunteer to be alone with a child or group of children and out of sight of other leaders.

 It is a vital part of protecting the church from legal action if a case of an alleged wrongful act is filed against the church. This form must be completed by the volunteer prior to being approved by the Safe Sanctuary Committee. The completed forms are confidential and will be kept on file at the church. (These forms are necessary to show the court(s) that the church has done a systematic screening of the volunteers prior to them being accepted for a ministry. If the screening is not completed and an alleged wrongful act is filed against a volunteer, the church could be liable for neglect in allowing a person who has had allegations of child abuse to be given a leadership role of trust over children.) By having all persons involved in children and youth programs fill out a Children’s Ministry Information Form, we are working to protect our children, guarding the integrity of our leaders, and reducing the church’s possible exposure to liability.

The Children’s Ministry Information Form asks for two personal references. These references should be contacted by a member of the Safe Sanctuary Committee or pastoral staff, and asked to comment on their knowledge of the volunteer. A careful record should be kept on file of the person making the contacts, the date of the calls and a summary of the reference’s comments. All hired and volunteer staff of Parker UMC may be asked to have a police check done at the expense of Parker UMC.

2. Teenage Volunteers

a.  In an effort to develop new young leaders, junior and senior high school students are encouraged to assist in the leadership of various children's ministries. These young leaders should be approved by the Safe Sanctuary Committee as leaders- in-training. As such, they should be provided with opportunities to develop their unique gifts, abilities and interests.

b. Teenagers under eighteen (18) wanting to serve as teen workers in any capacity with activities, studies, or programs for preschoolers or children will need to fill in a Teen Volunteer Information Form and go through the training. The only step in the process they are exempt from is the criminal background check. Teenagers must be assigned in accordance with the Five-Years Older Rule (see Basic Procedures for Safe Ministry with Children and Youth).

c. Leaders- in-training must be paired up with adult leaders who can assist in the development of their gifts. The Parker UMC Children's Ministry Information Form must be filled out by potential volunteers.

3. Leadership Development Procedures

The methodology implemented in children’s ministry must reflect the physical, social, mental, and spiritual development of children in the age grouping of a particular program. The curriculum content and program development must be familiar to the leaders in that program. The extent to which a leader is familiar with the developmental needs of the group and the goals of the curriculum will determine the effectiveness of the program.

We value the volunteers and make every effort to develop their skills as leaders and their

knowledge of the developmental needs of the children they serve. Our efforts to develop a leader’s skills and knowledge include, but are not limited to, seeking out appropriate workshops or providing in-house seminars on child/teen developmental issues, curriculum development, creative classroom control, children with special needs issues, and team teaching. Mentors are an effective way to develop one-on-one the leadership skills needed in a position. Where possible leaders- in-training and new leaders should be paired with a veteran leader, who will pass on wisdom, experience and knowledge relevant to the leadership responsibilities of the position.

Good resource materials are published and an effort should be made by the Christian Education Board to purchase these materials have them placed in the Resource Centre or church library. Leaders are encouraged to read such resource material to keep current on trends in children’s ministry.

4. Personal Safety Procedures

We are concerned about the safety of the children, families and volunteers we serve. In an effort to lessen the possibility of abuses occurring and to maintain conduct which is above reproach, we have developed the following standards for our children’s ministry.

a. Supervision Ratios

Our goal in the classroom is to provide an environment of acceptance and love in which learning can take place. Room allocation is geared to the needs and size of a particular class/group.

For teaching classes:

There will be a minimum of 1 adult teacher for every Sunday School class. When the class size goes above the registered size on a given Sunday, an extra volunteer will assist the teacher. These volunteers will be on the Sunday School supply helper list or will be a teacher who is not scheduled to teach on that particular Sunday.  Whenever there is only one adult leader in a classroom with children, the door will remain slightly open unless there is a window or  closed-circuit camera allowing anyone passing to look in without interrupting the teaching process.

For club programs:

There will be no less than 2 adult leaders present in all club group meetings for children in grades 3 - 6. Because of the nature of club programs and the diversity in activities that may be happening at one time, it is suggested that in addition to the minimum of two adult volunteers there be additional adult volunteers for special activities where required.

Club programs for junior and senior high school youth will have a minimum of 2 adult volunteers. Additional adult volunteers should be sought as the group grows to spread the needs of the youth program over a greater number of volunteers.

b. Nursery

The church nursery is an important aspect of our children’s ministry and as such we seek to provide the best care for our children. The following guidelines are in place to make the nursery a safe place for young children.

We have a nursery available downstairs to care for infants and toddlers. However, since we do not have the resources for a children’s church we request that school-age children remain in the sanctuary after the children’s sermon for the worship service. This will allow the nursery to be kept clean and safe for younger children.

There will be a minimum of two adults in the nursery when children are in the room. When there are more than 3 infants or 5 toddlers, additional helpers are to be recruited to assist in the care of the children. When there is only one baby/toddler in the nursery on a Sunday morning, there will be two volunteers in the nursery, one of which must be an adult. The second nursery worker may be a teenager or an adult.

When there are two nursery workers in the same family there must be another adult present in the nursery.

When toddlers require trips to the bathroom, a nursery worker must supervise the children in the washroom. To lessen the work of the nursery workers, parents of children who use the washroom are encouraged to take their child(ren) to the washroom prior to leaving them in the nursery.

The change table must be located where the child being changed can be easily seen by another nursery worker, or two workers should be present in the room where the change table is located.

Nursery workers are not to let children leave the nursery until a designated adult arrives to get their child(ren).

Nursery toys should be inspected and either be replaced or repaired if damaged. Toys should be cleaned at regular intervals. All toys in the nursery rooms must be appropriate for infants and toddlers. Those toys and activities that are appropriate only for toddlers must be kept out of reach from infants.

All nursery furniture and toys must be appropriate for infants or toddlers. Furniture and bedding should be cleaned at regular intervals in addition to when they are dirty.

Occasionally, a nursery ministry is required for activities in the church other than the regular Sunday morning service. The following guidelines are for such events, in addition to the above procedures.

There must be a minimum of 2 care givers with the children at all times, one of whom must be an adult.

The nursery must be checked by the person responsible for booking the child care prior to the beginning of the event. If there are not enough care givers for the adult-to-child ratio, the person responsible for the booking must stay in the nursery department.

Snacks will consist of food which is approved by the parents of each child or that food which is provided by the parent for their child only.

Nursery workers for the event must note the names of children and any particular medical information that is needed for a particular child (i.e. food allergies, asthma, etc.).

Reminder: Do not let children leave the nursery department until a designated adult arrives to pick them up.

c. Record Keeping

Complete records are to be kept for each Sunday School class, club program and nursery. These records are to include the names of children, addresses, phone numbers, parent name(s) and any allergy/medical information including health card numbers, that are important for leaders to know. The records are to be handed into the church office at the end of each class/club season.

They will be filed in the office in their original form under the title of each class/group. The files will be kept for a period of 3 years.

An accurate sign- in procedure will be maintained for each child in the nursery and preschool department(s), recording the child’s name, parent’s name(s) and parent location during the service or meeting. Special needs of a child should be noted on the sign- in sheet.

Lists of classroom/club/nursery attendance are to be maintained each week. The names of leaders/volunteers are to be noted each week as well.

d. Restrooms

Parents are encouraged to take their children to the washroom prior to the beginning of the service. Should a child need to go to the washroom during the service, parents are encouraged to go with the child. No child should be sent to the washroom alone. If parents determine a child to be old enough to go to the washroom without an adult, it is recommended that they send two older children together.

Parents/Guardians must take the responsibility to monitor their children. When this is not possible, it is recommended that the child use the washrooms located nearest to the sanctuary/meeting room.

Sunday School teachers of children under the age of 10 are encouraged to have the whole class stop at the washrooms on the way to the classroom, remain at the washroom area until everyone is finished and then proceed to the classroom. Sunday School teachers of children over the age of 10 are asked to send children in pairs to the washroom, should it be required.

e. Sleepovers

Club programs occasionally will hold sleep-over events or camping weekends. These events require additional supervision considerations.

Groups which are co-ed must have adequate adult supervisors of both genders. The supervisors should not all be members of the same family. Additional adults may be recruited for the event.

A minimum of 2 female adult supervisors and 2 male adult supervisors is suggested.

Groups where children are all of the same gender and the leadership is the same gender should provide the same number of adult supervisors as during a club meeting.

Groups where children are all of the same gender, but the leadership is comprised of the opposite gender, should provide a minimum of two adult leaders of the same gender as the children.

f. Sick Children

Children who are not feeling well should not be received into the nursery department or classroom. Some signs of illness are unusual fatigue or irritability, coughing, sneezing, runny nose and eyes, vomiting, diarrhea, inflamed mouth and throat, complaining of sore ears or throat, and rash (other than diaper rash). Children with these or similar symptoms should be returned to their parent(s) or guardian(s).

g. Emergencies

Workers are not to give or apply any medications to children except for bandages for minor cuts/abrasions, or ice packs for bumps. If a child needs medication, the parent must administer it. No medications will be left in the nursery department or any classroom with the following exception: children who carry inhalers for asthma or medication for serious allergies.

In the event that an older child who is a diabetic requires sugar, hard candies will be kept on hand in the classroom and when required one can be given to a diabetic child while parents/guardians are called. An older child is defined as over the age of 12.

Emergency procedures in the event of a fire will be reviewed semi-annually and when new volunteers are added. Workers will be trained in these procedures. Evacuation procedures are to be posted in each room.

First Aid boxes will be kept on hand and all workers are to review their locations and contents monthly.

h. Parties and Field Trips

Children’s programs are encouraged to provide opportunities for the group to go outside of the church building and into the community around. The community provides a variety of outing possibilities to enhance the curriculum being taught in a program and to serve the community.

The following are procedures for outings and parties which are off the church property.

There must be sufficient adult supervision at all outings. This would include the regular leaders within a program and parents of the children or approved volunteers. Parents helping with the outing do not need to fill out a Parker UMC Children’s Ministry Information Form.

All outings must have a signed and dated parental waiver from each parent/guardian. The waiver must state the nature of the outing, the time of departure and return, the destination (including the name of the host, address and phone number) the mode of transportation and the cost to the child, if any.

When an outing involves transportation, the leaders should leave a list of the drivers’ names, license numbers and children in particular vehicles. This list should be left in the church office on the bulletin board where it can easily be found. Once a child has been assigned to a particular vehicle, he/she is not to switch vehicles.

Parties held in homes must provide additional non-related adult supervision when the children are present in the home.

i. Worker Behavior

Workers must always be above reproach in their words and conduct. They are to behave in a godly manner demonstrating Christian conduct, respect, honesty and trustworthiness.

All workers must fill out and keep up-to-date a Parker UMC Children’s Ministry

Information Form. This form is to be reviewed annually.

Workers must not in any way be involved in any of the following activities with older children: extended hugging, kissing, sitting on a lap, inappropriate touching or being alone with a child.

In the event that a child approaches an adult leader with the intent to hug or kiss, or unexpectedly does so, the adult leader should accept the affection, but should as quickly as possible, in a non-rejecting manner, encourage a more appropriate form of physical contact.

Appropriate expressions for ages 0 - 3 include picking up the child, comforting the child, holding the hand of child, changing diapers.

Appropriate physical contact with children ages 4+ could include a handshake, pat on the back, quick hug of encouragement with hands located in shoulder area, and a ‘high five’.

Workers who are not feeling well should not lead a group of children. Notification, if possible, to a team member(s) should happen as soon as possible so that other workers can step in and assist in the supervision of children. When notification is not possible until the last minute, adjustments should be made in the program to allow for doors to be open and the group meeting to take place in a higher traffic area where others can check on the group without interrupting the session.

5. Staff and Volunteer Support

It is our goal, not only to provide for the safety of our children and youth, but also to support and provide, to the best of our ability, a system of procedures that will protect the staff and volunteers from being falsely accused of wrongful acts. This is accomplished by:

    a) Screening potential leaders to determine where a volunteer would be best suited to use their gifts, abilities, interests and experiences.

    b) Providing leadership development that will further prepare the volunteer for leadership within a group/class/club.

    c) Adhere to the Procedures in section 3: Personal Safety Procedures.

    d) Maintaining the records of groups/classes/clubs for a period of 3 years in their original form.

    e) Providing coverage for all staff and volunteers under the Parker UMC Insurance Policy with periodic reviews to ensure that the Policy covers all the areas of our church ministry.

When a staff person or volunteer is accused of an alleged wrongful act, the church congregation will provide spiritual and moral support to the person(s) involved.

6. Reporting Accidents/Injuries

Occasionally during the course of regular program activities injury occurs. These may be minor or major in nature. After appropriate support and assistance is given to the injured child or leader, a written Incident Investigation Report should be filled out by the program coordinator or appropriate person on the pastoral staff. A description of the incident, contributing factors and the treatment given should be noted. Witnesses to the incident should be listed with addresses and phone numbers for follow-up purposes.

The Incident Investigation Reports should be reviewed by the Safe Sanctuary Committee. A member of the Committee should be appointed to investigate the incident and bring recommendations back to the Board to prevent a recurrence of the accident. These Reports are to be kept in the church office for future reference.

7. Child Abuse: Prevention and Procedures

Definitions

Physical Abuse: This is the use of physical force by the caretaker (parent/guardian, babysitters, or foster parent) of the child which results in any injury to the child. This injury is sometimes described as a non-accidental injury by health professionals.

Physical Neglect: This is the chronic or episodic withholding of necessary or essential physical care from the child with resulting injury or damage to the child. Necessary physical care can include food, nutrition, shelter, clothing, medical care, safety, supervision, sensory stimulation (particularly to young infants).

Emotional Abuse: This is the acting out by the parent or caretaker of the child of their negative or ambiguous feelings towards the child, resulting in some degree of emotional damage to the child. This kind of behavior may consist of constant chastising, belittling, verbal tirades, ridicule, humiliation, or the out and out rejection of the child’s sense of self-worth and dignity.

Emotional Neglect: This is the chronic or episodic withholding of necessary emotional care and support from the child which results in some degree of emotional damage to the child. This kind of neglect might consist of withholding affection and love from the child; it might also include the withholding of affirmations of the child’s self-worth, trust and belongingness. In extreme forms, emotional neglect can involve the complete withdrawal of any verbal and/or non-verbal interactions with the child, manifesting the complete rejection of the child.

Sexual Abuse: This is the sexual exploitation of a child by a caretaker or other family member, or any adult, resulting in damage or injury to the child sexually, either psychologically or physically. Forms of sexual exploitation include behavior of a sexual nature, touching of a sexual nature and sexual intercourse.

8. The Responsibility to Report

In the case of an allegation of child/youth sexual abuse, the volunteer or clergy staff person who observes or to whom the information is given is required by the Church and by the state law to complete the tasks listed below. Date and initial as each step is completed. Note: If allegation is against the Senior Minister, the report should go to the chairperson of the Staff Parish Relations Committee and the District Superintendent.

9. Other Types of Harm

Most of us think that liability arise only out of tangible harm, such as bodily injury or property damage. Unfortunately, increasing numbers of lawsuits involve situations where physical injury is not involved. These exposures may arise out of:

1. Libel and slander – untrue statements about members of the congregation or other faiths. Emotional distress may be caused because of statements made or actions taken, even if they are well founded in truth.

2. Public demonstrations against individuals, groups, or organizations if improperly conducted.

3. Discharge of students or expulsion of members of congregations.

4. Invasion of privacy – investigations into the private lives of church members may cause liability, as may acts such as searching lockers, desks, or personal property of employees or students.

5. Publications – accuracy of facts should be carefully determined. Accusations should not be published. Groups or classes of individuals should not be charged with guilt by association.

6. Counseling by insufficiently trained or unskilled counselors.

10. Improper or Inadequate Supervision

You can’t over-supervise. Most states or local governments have specific requirements on the minimum ratio of supervisors to participants. Probably more litigation results from “failure to properly supervise” than any other cause. If negligence cannot be found for any other reasons, attempts are made to find inadequate supervision.

Instances where improper or inadequate supervision will likely be alleged are:

1. Accidents on the playground 4. Sporting events         7. In the classroom

2. In Sunday School                             5. Field trips                 8. Lock-in/sleepover

3. Church outings                                  6. Swimming

Proper location of supervisors on playgrounds or at swimming pools is as important as the number of supervisors. Governmental authorities should be contacted prior to events on public property to determine any safety requirements and to place authorities on notice of the type of activity planned. Parents should be informed in writing of the exact nature of the planned event, describing the supervision to be given church or school. Parental consent should be obtained in writing of any special event. Qualifications required for supervisory personnel should be determined for each event. You need people of mature judgment who are experienced supervising groups of children or young people. The supervisor should not have a history of problems with assigned groups. A thorough check should be made on an individual’s background, especially where supervisors are employees of the church or school. All states have standards for hiring employees in charge of children. Church officials should be informed of state and local requirements. This would include “certification of teachers”.

11. Hazardous Activities

We enjoy activities that foster good fellowship. However, in some activities the dangers outweigh the enjoyment. These are classified as hazardous and extra hazardous. Hazardous activities should be stringently supervised with strict limitations. Extra hazardous activities should not be sponsored by the church unless supervised by adults highly competent in the specific activity.

Water slides, Water-skiing, Mud Olympics, Snow skiing, Dune buggies, Rafting, Snow tubing, Unsupervised swimming Obstacle courses, Canoeing, Haunted houses, Paddle boating, Tackle football, Horseback riding Snowmobiles, Rope jumping Rodeos, Basketball, Rope swings, Volleyball, Monkey bar equipment, Softball, Fireworks displays & stands, Sack races, Motorbikes, Touch football, Rock climbing, Roller skating, Trampolines, Ice skating


 

SANDY GROVE METHODIST CHURCH POLICY ON SEXUAL ETHICS

Sandy Grove United Methodist Church affirms the 1996 Book of Resolution. 

Sexual Abuse Within the Ministerial Relationship and Sexual Harassment Within the Church, which states that sexual abuse within the ministerial relationship and sexual harassment within the church as incompatible with biblical teachings of hospitality, justice and healing. In accordance with the 2000 Book of Discipline, ¶ 161F, all human beings, both male and female, are created in the image of God, and thus have been made equal in Christ. As the promise of Galatians 3:26-29, states all are one in Christ, we support equity among all persons without regard to ethnicity, situation, or gender.

 Sexual abuse within the ministerial relationship occurs when a person within a ministerial role of leadership (pastor, educator, counselor, youth leader or other position of leadership) engages in sexual contact or sexualized behavior with a congregant, client, employee, student, staff member, coworker or volunteer.

 Sexual harassment is any unwanted sexual advance or demand, either verbal or physical, that is reasonably perceived by the recipient as demeaning, intimidating, or coercive. Sexual harassment includes, but is not limited to, the creation of a hostile or abusive working environment resulting from discrimination on the basis of gender.

Sexual abuse within the ministerial relationship involves a betrayal of sacred trust, a violation of the ministerial role and exploitation of those who are vulnerable. Similarly, sexual harassment must be understood as an exploitation of a power relationship rather than as an exclusively sexual issue. Misconduct of a sexual nature within the life of the Church interferes with its moral mission.

  Parker United Methodist Church stands in opposition to the sin of misconduct of a sexual nature in the Church and society at large and commits itself to fair and expedient investigation of any charge of sexual harassment within the church and to take action deemed appropriate and in compliance with the Book of Discipline. Further, Parker United Methodist Church bears affirmative responsibility to create an environment of hospitality for all persons, male or female, which is free of misconduct of a sexual nature and encourages respect, equality and kinship in Christ.

 Some instances of sexual harassment can be resolved easily and informally between the parties. In all other instances, the conduct should be reported to the chair of the Staff-Parish Relations Committee or the pastor in charge. If the conduct involves a clergy person, it should be reported to the district superintendent or the presiding bishop.

 

Sandy Grove UMC Children’s Ministry

Information Form

A. Basic Information

Name: __________________________________

Address: __________________________________________________________

Telephone Number: Home: ____________________Work: _________________

Best time to call: Home: ____________________Work: ________________

B. Ministry

What area(s) would you like to volunteer to become involved? (Check all that apply.)

Teaching                                             Helping                                               Other

____ Preschool

 ___ Babysitting

 ___ Music - instrument

___ Grades 1 – 3

 ___ Nursery

 ___ Music - vocal

___ Grades 4 – 6

 ___ Preschool

___ Storytelling

___ Grades 6 – 8

 ___ Grades 1 – 6

 ___ Crafts

___ High school

 ___ Grades 6 – 8

 ___ Games/Activities

___ Girl’s Club

  ___ High school

___ Other (specify)

___ Boy’s Club

 ___ Girl’s Club

 ___ Other (specify)

___ Teen’s Group

 ___ Boy’s Club

 ___ Teen’s Group

Why do you want to volunteer in this area?  

________________________________________________________________________

_______________________________________________________________

Are you open to attend relevant seminars or workshops and resource materials that our Safe Sanctuary Committee will be offering on working with the children and program materials? yes / no

C. Experience

What previous experience have you in children/youth ministry? (Be specific.)

________________________________________________________________________

________________________________________________________________________

D. Personal Data

Are there any conditions or personal circumstances which would hinder you from performing certain types of activities in the position(s) for which you are volunteering? (e.g. allergies, asthma, diabetes, fainting, seizures, unable to lift children, etc.)

________________________________________________________________________

________________________________________________________________________

Please read and sign the following statement.

I have read and agree to adhere to the best of my ability, the Policy and Procedures Regarding Child Safety.

__________________ ___________________________

Date Signature

References:

List two persons not related to you who can comment on your suitability for this ministry.

Name Address Telephone How long?

_________________ _____________________________ ___________ ______

_________________ _____________________________ ___________ ______

Reference Check

For: _______________________________________ Position: __________________

Reference:__________________________________________Phone: ______________

 

My name is (reference checker). I am phoning to obtain a reference for (volunteer’s name) who has expressed an interest in the volunteer position of ____________________ at ( Sandy Grove United Methodist Church) .

He/she has given us your name as someone who would be familiar with his/her qualifications for this position.

1. What is your relationship to this person (work, social, volunteer,  etc.)?____________

2. How long have you known him/her______________________________________________________

3. What knowledge do you have of this person’s commitment to Jesus Christ?  

________________________________________________________________________

________________________________________________________________________

4. Have you ever worked with this person in ministry? Please specify in what area(s).  

________________________________________________________________________

________________________________________________________________________

5. What characteristics would enable this person to fulfill this position?  

________________________________________________________________________

________________________________________________________________________

6. Do you have any concerns relating to this person being involved in this ministry?  

________________________________________________________________________

________________________________________________________________________

7. Additional comments regarding suitability for ministry:  

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

8. Do you affirm this person for ministry? __________________________

Reference Checker Name: ____________________________________________

Signature: _________________________________ Date: ________________________

 

Sandy Grove UMC Incident Investigation Report

 

Claimant: Name:___________________________________________Age: ___________

 

Date of Incident: ____________________________________________ Time: __________________

 

 

Description of Incident:  

______________________________________________________________________________________

 

______________________________________________________________________________________

 

 

Contributing Factors :  

______________________________________________________________________________________

 

______________________________________________________________________________________

 

 

Medical Treatment

______________________________________________________________________________________

 

______________________________________________________________________________________

 

 

Location of Treatment: ________________________________________________________________

 

Witness: _______________________________________________ Age : ______________

Address: ___________________________________________________________________________

 

_________________________________ Telephone Number: ____________

 

Witness: _______________________________________________ Age: _______________

Address: ___________________________________________________________________________

 

_________________________________ Telephone Number: ____________

 

Action Taken to Prevent Recurrence

___________________________________________________________________________

 

___________________________________________________________________________

 

___________________________________________________________________________

 

 

 

 

Legal Counsel: Yes. ____ No. ____

Name of Counsel: ____________________________________________________________________

Address: ___________________________________________________________________________

 

Investigated by: (Name) ____________________________________

 

Title : _____________________

 

Signature : _______________________________________________ Date: ____________

 

Review by: (Name) ________________________________________ Date:  __________

 

Further Comments: 

___________________________________________________________________________

 ___________________________________________________________________________

 

___________________________________________________________________________

 

___________________________________________________________________________

 

ABUSE INCIDENT REPORT FORM

 

 

Reason for report _______________________________________________________

 

Date of incident ____________________________Class _______________________

 

Title _______________________

 

Name(s) and Age(s) of Minor(s) ____________________________________________

_______________________________________________________________________

 

Quote the child’s first words verbatim: _______________________________________

_______________________________________________________________________

_______________________________________________________________________

 

Briefly describe what happened: ____________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

 

What action did you take? _________________________________________________

_______________________________________________________________________

_______________________________________________________________________

 

Has the incident been resolved? ____yes ____no Explain: ______________________

_______________________________________________________________________

 

Were there any witnesses? ____yes ____no Names: ___________________________

_______________________________________________________________________

 

Signatures of witnesses (if possible): _________________________________________

_______________________________________________________________________

 

Report submitted to: ______________________________________________________

 

CHECKLIST FOR RESPONSE

TO ALLEGATION OF SEXUAL ABUSE

TO BE COMPLETED BY CLERGY/PROFESSIONAL

STAFF PERSONS

 

Date: _____ Initial: ______ 1. For clergy and paid professional staff: remove the

accused from the situation and suspend the accused from duties involving children/youth.

 

Date: _____ Initial: ______ For volunteers: Remove the accused from the situation

and immediately notify the closest available clergy/professional staff person who will suspend the accused. If the clergy/professional staff person to whom the allegation is reported is not the direct supervisor of the accused, the person reporting will inform the supervisor as soon as possible.

 

Date: _____ Initial: ______ 2. Make written documentation of everything done and

said. If the person reporting the allegation is a volunteer, both the volunteer and the clergy/professional staff to whom the volunteer has reported will document the

procedures taken. The procedures after this point will be administered by ministerial staff persons only.

 

Date: _____ Initial: ______ 3. Immediately notify the parents/guardians of the alleged

victim and respond to their questions and concerns.

 

Date: _____ Initial: ______ 4. Determine whether the incident requires immediately

notification of state authorities.

 

Date: _____ Initial: ______ 5. Immediately notify the minister in charge.

 

Date: _____ Initial: ______ 6. Make written documentation of persons contacted and

action taken to this point.

 

Date: _____ Initial: ______ 7. The clergy/professional staff person will immediately

establish a small response team to begin the internal and pastoral care process.

 

 

Date: _____ Initial: ______ a. notify the insurance carrier of the incident

immediately and comply with its investigation, if any;

 

Date: _____ Initial: ______ b. cooperate with legal and state authorities in their

investigations, if any;

 

Date: _____ Initial: ______ c. prepare a written statement and designate a

spokesperson to respond to media inquiries;

 

 

Date: _____ Initial: ______ d. provide assistance to the alleged victim and his/her

family in obtaining counseling or referral to a mental health professional, if needed; determine whether the alleged victim’s counseling expenses can be reimbursed

by the Church or the insurance carrier;

 

Date: _____ Initial: ______ e. respond to the needs of the families of the alleged

victim and the accused to seek a redemptive solution for all involved;

 

Date: _____ Initial: ______ f. inform the affected volunteer(s) and paid staff

members of the need for confidentiality, and;

 

Date: _____ Initial: ______ 8. Consider and respond to the concerns of other parents.

 

Date: _____ Initial: ______ 9. The director of the affected ministerial area will

respond to the pastoral care concerns of persons within the department.

 

Date: _____ Initial: ______ 10. Make written documentation of persons contacted and

action taken.

 

 

 

 

 

 

 

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