Application For Children & Youth Workers And Background Information Consent Form (Page 4 of 4) in pdf

Application For Children & Youth Workers And Background Information Consent Form Page 4

REPORTING PROCEDURES FOR CHURCH WORKERS

Each teacher involved in the Youth/Children’s Ministry should report any suspicious behavior or comments

that would lead an individual to believe that PHYSICAL ABUSE AND/OR SEXUAL ABUSE has

occurred. The following are indications of possible abuse:

♦

PHYSICAL SIGNS - lacerations and bruises, nightmares, irritation, pain or injury to genital area,

difficulty with urinating, discomfort when sitting, torn or bleeding underclothing, venereal disease

♦ BEHAVIORAL SIGNS - anxiety when approaching church or nursery area, nervous or hostile behavior

toward adults, sexual self-consciousness, “acting out” sexual behavior, withdrawal from church activities

♦ VERBAL SIGNS - I don’t like (particular church worker), (a church worker) does things to me when

we’re alone, I don’t like to be alone with (a church worker), (a church worker) fooled around with me.

If any of these things should take place, a teacher must report what they have seen or heard to the person

directly over their department. The department head will then relay that information to the senior pastor. If, in

the judgment of the senior pastor, there is any truth to the allegations, he will report these findings to the state

within 24 hours. The senior pastor may file the report anonymously from the office of an independent third

party if he chooses.

On a periodic basis there will be meetings to discuss reporting procedures. Everyone involved will know the

responsibility that they have to report incidents. If the department you are serving has a policy and procedural

manual you are required to read and sign any statement of agreement.

APPLICANT’S STATEMENT

I have read, understand and agree to comply with these reporting procedures.

Signature

Date

Application For Children & Youth Workers And Background Information Consent Form Page 4