Diocese Of Joliet Acknowledgement printable pdf download

Diocese Of Joliet Acknowledgement

Diocese of Joliet

Blanchette Catholic Center

Office of Child & Youth Protection

16555 Weber Rd.

Crest Hill, Illinois 60403

ACKNOWLEDGEMENT

This is to acknowledge that I have received and reviewed a copy of the

___ Policy Regarding Sexual Abuse of Minors

revised 2013

___ Standards of Behavior for Those Working with Minors

revised 2014

I understand that I am responsible to become familiar with the contents of

the above documents. I agree to abide by and to conduct myself in

complete accord with them.

(Please print clearly)

Name ______________________________________________________

Position ____________________________________________________

Agency, parish, institution ______________________________________

City ________________________________________________________

Signature ___________________________________________________

Date _______________________________________________________

This form is to be completed, signed and returned to the parish/school/agency for which you will be

working/volunteering.

Priests and Deacons only:

This form is to be completed, signed and returned to the Chancery or Deaconate Office by mail or fax

Revised 2014

Diocese Of Joliet Acknowledgement