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Jeremiah 1:7

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Jeremiah 1:7
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- High School Youth Volunteer Application
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter an integer (number).
- Grade REQUIRED Please fill out this field. Please enter an integer (number).
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
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- Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Please list 2 names and phone numbers of adults for emergency contacts:
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Volunteer Position Desired: Please enter valid data.
- Today's Date Please enter a date.
- Dear Parent,
  Your son/daughter has been invited to serve in ministry to children or youth under the age of 18. This ministry, which assists adults in the care of children or youth, involves special attention to their safety and well-being. The Catholic Church has been especially committed to this endeavor through the United States Conference of Catholic Bishops’ establishment of a national charter to protect God’s children. Articles 6, 10, and 12 of the USCCB charter provide for age appropriate formation to ensure that proper care and safety has been established in the care of children.
  
  USCCB Charter for the Protection of Children and Young People Essential Norms
  
  ARTICLE 6. There are to be clear and well-publicized diocesan/eparchial standards of
  ministerial behavior and appropriate boundaries for clergy and for any other paid personnel and volunteers of the Church in positions of trust who have regular contact with children and young people.
  
  ARTICLE 10. The whole Church, especially the laity, at both the diocesan and national levels, needs to be engaged in maintaining safe environments in the Church for children and young people.
  
  ARTICLE 12. Dioceses/eparchies are to maintain “safe environment” programs which the diocesan/eparchial bishop deems to be in accord with Catholic moral principles. They are to be conducted cooperatively with parents, civil authorities, educators, and community organizations to provide education and training for children, youth, parents, ministers, educators, volunteers, and others about ways to make and maintain a safe environment for children and young people. Dioceses/eparchies are to make clear to clergy and all members of the community the standards of conduct for clergy and other persons in positions of trust with regard to children.
  
  In that light, your son and daughter, as part of their role as a volunteer serving in regular contact with minors, has been asked to participate in a 2-hour formation program. The formation will be provided by trained facilitators acting on behalf of the Archdiocese of Galveston-Houston.
  
  The objectives of the 2-hour program, named Jeremiah1:7, serve to help the high school person involved in ministry to minors to:
  1. understand the meaning of ministerial authority, stewardship, service and the
  effects of personal power in relationships
  2. understand the meaning of sexual abuse
  3. learn the meaning of personal and relational boundaries
  4. acquire skills to establish and maintain appropriate boundaries
  5. develop skills to recognize and report concerns and abuses for boundary violations
  with children and other teens
  
  Your written permission for your child to attend this formation is required. Please direct any questions regarding this formation to your parish coordinator of this program. Thank you for your support in the care of God’s children.
  
  Parent Release Form
  The Parent Release Form authorizes permission for high school youth to participate in
  Jeremiah 1:7, a 2-hour safe environment program for high school persons assisting adults with children under the age of 18.
- Name of Teen REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter an integer (number).
- Grade Please enter an integer (number).
- Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Home Phone Number Maximum 20 characters Please enter a phone number.
- Cell Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
- Please list 2 names and phone numbers of adults for emergency contacts:
- Full Name Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- Full Name Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- I hereby give my consent for my son/daughter to partake as a volunteer in ministries with children/youth under the age of 18 and to participate in the teen ministry training program for protecting God’s children. I understand that the formation my child will be attending will be facilitated by a trained facilitator serving in accordance with the guidelines established by the Archdiocese of Galveston- Houston.
- Parent or Guardian E-Signature REQUIRED Please fill out this field. Please enter valid data.
- Today's Date REQUIRED Please fill out this field. Please enter a date.
- Youth Volunteer Code of Conduct
  As a community of faith we are committed to safeguard our children and youth, the most important gifts God has entrusted to us. The following rules and regulations reflect that commitment and are a condition of teenage volunteers in ministry.
  
  As a youth volunteer, I will:
  Represent my Parish/School as an example of the Catholic Christian values it represents.
  Safeguard children and youth entrusted to my care at all times.
  Treat everyone: children, youth and adults, with respect, loyalty, patience, integrity,
  courtesy, dignity, and consideration.
  Avoid situations where I am alone with a child or youth at church/school activities.
  Use positive reinforcement rather than criticism, competition, or comparison when
  working with children or youth.
  Not use foul or inappropriate language in the presence of the children or youth I serve.
  Maintain appropriate boundaries in my relationship with the children and youth I serve.
  Refrain from giving inappropriate, personal gifts to children or youth.
  Report concerns about boundary issues to a responsible, safe adult.
  Report suspected abuse or neglect to a responsible, safe adult immediately.
  
  As a youth volunteer, I will NOT:
  • Risk the safety of, or violate the healthy boundaries of any child or youth in my care.
  • Smoke or use tobacco products on parish property and/or in the presence of children or youth.
  • Use, possess, or be under the influence of alcohol or illegal drugs at any time while volunteering.
  • Spank, shake, or slap children, youth or any other person.
  • Humiliate, ridicule, threaten or degrade children, youth or any other person.
  • Touch a child, youth or any person in a sexual or other inappropriate manner.
  • Engage in any conduct that frightens or humiliates children, youth or any person.
  • Commit an illegal or immoral act in the presence of children and/or youth.
  • Use profanity or tell dirty jokes in the presence of children and/or youth.
  • Sexually harass any person, e.g., requests for sexual favors, sexually explicit statements.
  Take, post or exchange pictures of the children or youth with whom I volunteer without the permission from the individual’s parent or guardian.
  
  As a youth volunteer, I promise to strictly follow the rules and guidelines in this Code of Conduct. I commit to being an example of Catholic Christian love and support to those I am allowed to serve. I understand that any action inconsistent with this Code of Conduct or failure to take action mandated by this Code of Conduct may result in my suspension or termination of my role as a youth volunteer.
- E-Signature of Youth Applicant REQUIRED Please fill out this field. Please enter valid data.
- Today's Date REQUIRED Please fill out this field. Please enter a date.
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