Child protection policies and forms

Download 16.94 Kb.
NameChild protection policies and forms
A typeDocumentation


DISCLAIMER: Because laws in various states and requirements in different denominational traditions differ, it is imperative that every church have its own lawyer, denominational representatives, and insurance agent review the church’s policy on child protection, child abuse, and background checks. document is a sample only and is not meant to provide legal counsel.

Statement on Child Protection and Prevention of Child Abuse and Background Check Permission Form

Church Name

[YOUR CHURCH, CITY, STATE] (the “Church”) remains committed to providing and maintaining a safe, nurturing environment for all children and youth under the age of eighteen (18) while in its care during events which are sponsored or co-sponsored by the Church. Implicit in the involvement of persons in ministries to children and youth are the biblically based terms COVENANT and SHEPHERD. There is an implied covenant between the leader and the child and the child’s parents to be a good shepherd of that child, leading him or her towards an understanding of the love and grace of Jesus Christ.

A commitment to this call includes the adoption and enforcement of this policy on child protection and prevention of child abuse. This policy applies to all clergy, leaders, volunteers and other persons who work with children in any paid or voluntary capacity. All children’s leaders and childcare providers who regularly interact with children or youth must read, be in agreement with, and sign this policy, and affirm that they have not resigned or been terminated from a position or leadership role for reasons related to misconduct.

The Church believes that appropriate personal relationships between adult leaders and children and youth of the Church foster the community of Christ. Common expressions of affection (hugs), affirmation (pats on the back), support (prayer), or physical care taking (changing diapers, etc) are appropriate in our community of caring Christians. Care will be taken, however, that adults do not behave in a sexually inappropriate way during Church-sponsored activities, such as demonstrating excessive physical expressions of affection or imposing such expressions upon another individual.

It is the goal of the Church that two adults be present with children at all Church-sponsored activities. The Church recognizes that there will be times when an unaccompanied adult may be present with a group of children or youth or with a single child or youth. In those circumstances, if an adult must be alone with children or youth for a brief given time (such as Sunday school or Bible class), he/she can only do so when subject to being visually observed at all times, such as through an open door or door with window. If children and youth need to be transported, it should be in groups. An unaccompanied adult will not transport an individual child as part of a Church-sponsored activity without specific permission of the child’s parent or guardian.

Prohibited conduct includes any form of physical, emotional, or mental abuse of a child, including but not limited to, the exploitation of a child which breaches Christian ethical principles by misusing a trust relationship. Sexual exploitation of a child includes, but is not limited to, any interaction between a child and an adult in which the child is being used for the sexual stimulation of an adult. This may or may not include touching.

Prohibited conduct may include, but not be limited to:

  • Any display or demonstration of sexual activity, abuse, insinuation of abuse, or evidence of sexual conduct towards a protected minor;

  • Sexual advances or sexual activity of any kind between any adult and a protected minor;

  • Sexual advances or sexual activity of any kind between an older child and a younger child

  • Infliction of physically abusive behavior or bodily injury to a minor;

  • Physical neglect of a minor, including failure to provide adequate supervision;

  • Causing mental or emotional injury to a minor;

  • Possessing obscene or pornographic (sexually explicit) materials at any function of the Church;

  • Possession or being under the influence of any illegal substances;

  • Consuming or being under the influence of alcohol while leading or participating in a minor’s function of the Church;

  • Any kind of verbal remarks with sexual connotations, overtones, or innuendo directed to or about a minor;

  • Carrying any type of weapon on Church property.

[YOUR STATE] law provides that any individual who suspects an incident of child abuse or neglect shall report it by calling the Department of Children’s Services (DCS) at 877-237-0004. This report is MANDATORY and is not discretionary.

DCS recommends the following when reporting:

  • Be specific with your reasons for suspicions of abuse or neglect. Include dates of incidents, details of any physical marks and/or behaviors and specific quotes of any indicators the child makes about abuse or neglect.

  • If the child reports incidents of abuse or neglect to you, be sure to listen to the child and be compassionate. However, do not ask the child too many questions as they need to discuss the details of the abuse with trained professionals.

[YOUR CHURCH] additionally requires that:

  • You report first report suspicions of abuse or neglect to the [DESIGNATED STAFF PERSON(S)]

  • Immediately thereafter, you shall report the incident to DCS at 877-237-0004.

  • A report to the [DESIGNATED STAFF PERSON(S)] does not relieve you of your responsibility to report to DCS and does not justify a postponement of your report to DCS.

  • The report to DCS must be made before an investigation is conducted into the validity of alleged misconduct.

All persons involved with the report or investigation shall keep the information in strictest confidence. The Head of Staff and [THE DESIGNATED LAYPERSON] shall be informed of any complaints.

Upon accusation, the accused is entitled to prompt and fair disposition of such serious charges. It is acknowledged that Church members and pastors are subject to inquiry and discipline under [YOUR DENOMINATION’S POLICY’S, e.g., the Book of Order or the Book of Discipline]. Physical, mental, or emotional misconduct shall be grounds for disciplinary action up to and including dismissal of any Church employee, leader or childcare provider.

I have read and agree to comply with these policies.

I also state that I have not been arrested or convicted of a crime involving sexual abuse or misconduct as defined in this Policy Statement, or resigned from or been terminated from any position for reasons relating to sexual, physical, or mental abuse or misconduct, as defined in this Policy Statement.

I hereby agree to authorize any background check the Church may choose to conduct, and to sign any documents necessary to do so.


Signature Date


Children and Youth Background Check

Frequently Asked Questions

Which Volunteers Get Background Checks?

Highest Level: Staff, anyone one-on-one with children or youth, off-site small group leaders, overnight leaders

Mid-Level: With the exception of guest speakers, anyone teaching in any capacity @ any time, including leaders of young children in worship

Not Necessary: Helpers supervised visibly by someone who has done background checks

How Often Do We Redo the Background Checks?

Every Three Years

What Does the Application Process Look Like?

A single document, including job description, Child Protection Policy, and signed permission for background check

Who Administrates the Background Check Process?

The Administrative Assistant to Congregational Care and Christian Education will manage the background check process, keep any written reports in a locked cabinet, and distribute any questionable background checks to department heads for follow up. OR All background check information will be stored on-line through our background-check provider.

Which Background Company Will We Use?

Protect My Ministry

Timing for Rolling out the Background Checks

Fully implemented by [DATE]

How Does the Congregation Learn About This Initiative?

The youth and children’s ministry staff will create a cover letter for the church newsletter to introduce the background check initiative to the congregation.

Share in:


Child protection policies and forms iconSafeguarding children and child protection

Child protection policies and forms iconSample policy policies & Procedures For the Prevention of Child Abuse

Child protection policies and forms iconThe usa child Protection Policy was approved by the International...

Child protection policies and forms iconChild Enrollment Documentation Requirement Child and Adult Care Food...

Child protection policies and forms iconAbsences from child care – Child Care Benefit (ccb) and Child Care Rebate (ccr)

Child protection policies and forms iconAbstract Starting school is a major milestone in a child’s life affecting...

Child protection policies and forms iconI am writing to inform you of my decision to refuse to allow my child,...

Child protection policies and forms iconWe look forward to meeting you and hope you will share with us in...

Child protection policies and forms iconWe look forward to meeting you and hope you will share with us in...

Child protection policies and forms iconPre-upgrade installation considerations Before upgrading your existing...

forms and shapes

When copying material provide a link © 2017