Parish Report

- Ministries
  - Education & Faith Formation
    
    Catholic Schools of Fairbanks
    Faith Formation
    Religious Education
    Sacramental Preparation Guidelines
  - Ministries
    
    Alaska Native Ministry
    Becoming A Catholic (RCIA)
    Catholic Campus Ministry
    Deacons
    Hispanic Ministry
    Marriage and Family
    Outreach
    Social Justice
    Vocations
  - Safe Environment
    
    Adult Training
    Bishop Abuse Reporting
    Parish and Family Resources
    
    Parish Report
    
    Policies
    Report Abuse
    Statements
    Victim Assistance

An important part of the mission of protecting all children and vulnerable adults is tracking who is working within our parishes. Below is the Parish Report Form that needs to be completed each year for every parish in our diocese. If you have any questions, please contact Jocelyn Niedziela in the Safe Environment Office 907-374-9511.
This form is not accepting responses at this time.
- PARISH INFORMATION
- Parish Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- Child Protective Training (CPT) Date REQUIRED
  What was the date when you held the Children's Protective Training?
  Please fill out this field. Please enter a date.
- Name of the CPT program(s) used for each age group REQUIRED Please fill out this field.
- Were there any children whose families opted out of the training? If "yes", please email signed opt out form(s) to Safe Environment Coordinator. REQUIRED Yes No Please fill out this field.
- CLERGY, DEACONS, RELIGIOUS
- Number of Clergy, Deacons, Religious Serving in the Parish REQUIRED Please fill out this field.
  
  Clergy, Deacons, Religious 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 11
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 12
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 13
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 14
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
  
  Clergy, Deacons, Religious 15
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title REQUIRED Please fill out this field. Please enter valid data.
- EMPLOYEES
- Number of Staff employed at the parish this year. (Please do NOT include clergy, deacons or religious in this category.) Please fill out this field.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
  
  Employee 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.
  
  Position REQUIRED Please fill out this field. Please enter valid data.
- VOLUNTEERS
- Active Parish Volunteers this ministry year.
  Please list all active parish volunteers for this ministry year. Indicate whether they work with children and/or vulnerable adults as part of their ministry.
  Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
  
  Volunteers 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.
  
  Ministry (ministries) Involved in REQUIRED Please fill out this field.
  
  Works with children REQUIRED Yes No Please fill out this field.
  
  Works with Vulnerable Adults REQUIRED Yes No Please fill out this field.
- PERSON COMPLETING FORM
- Please complete the information below for the representative completing this form.
- 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.
- Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Submit

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