Approved Catechist &lt;span&gt;Questionnaire&lt;/span&gt;

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Birthdate REQUIRED Please fill out this field. Please enter a date.

What time would you like to teach? REQUIRED Please fill out this field.

1st Choice: What grade level would you prefer to teach? REQUIRED Please fill out this field.

2nd Choice: What grade level would you prefer to teach? REQUIRED Please fill out this field.

3rd Choice: What grade level would you prefer to teach? REQUIRED Please fill out this field.

Do you have children who will be enrolled in faith formation classes? REQUIRED Please fill out this field.

Do you need nursery/babysitting for younger children while you serve? If yes, please enter ages: REQUIRED Please fill out this field. Please enter valid data.

Please read and agree to each of the following expectations for Catechists:

To be a practicing Catholic who participates fully in the communal worship and life of the Church, including daily prayer, weekly Mass, and frequent Reconciliation.

I Agree Please select this field.

To present a prayerful, positive, Catholic role model for students, families, and others.

I Agree Please select this field.

To teach Catholic Church teachings; the Children’s Faith Formation program is not a forum for personal beliefs not in conformity with these teachings.

I Agree Please select this field.

To complete Diocesan requirements for catechists (timely completion of fingerprinting/background check and online safety courses, to be renewed every 5 years).

I Agree Please select this field.

To continue his/her own faith formation through participation at workshops, courses, retreats, bible studies or other avenues.

I Agree Please select this field.

To follow the Good Shepherd catechetical program and to prepare lessons, organize activities, and seek assistance as needed toward that aim.

I Agree Please select this field.

To work as a team with the Director, co-catechists, other members of the religious education team, the pastoral staff, clergy and parents.

I Agree Please select this field.

To recognize that parents are the primary catechists of their children, and to support them in this role through frequent communication and providing resources to families where appropriate.

I Agree Please select this field.

To be able to relate well with others, especially children, youth, and their parents, and to build relationships with them with intentional efforts at connection.

I Agree Please select this field.

To make a good faith commitment to know and follow the catechetical guidelines as distributed each year at New Catechist Orientation or Catechist Retreat (Important Notes & Policies for Catechists).

I Agree Please select this field.

To make a good faith commitment to have excellent attendance with an earnest effort at securing a substitute from the substitute list and timely notification of co-catechist and CFF Director when an absence is necessary.

I Agree Please select this field.

To never underestimate the power of prayer!

I Agree Please select this field.

If you have any questions or concerns regarding any of these expectations please contact Diana Grosh in the Children’s Faith Formation office.

Required by the Diocese of Pensacola-Tallahassee

MEDICAL, LIABILITY, AND RELEASE
PLEASE READ CAREFULLY

The following section is required information, permissions, and release for adult volunteers serving on parish grounds:

Insurance Company: REQUIRED Please fill out this field. Please enter valid data.

Policy Number: REQUIRED Please fill out this field. Please enter valid data.

Insurance address or phone number: REQUIRED Please fill out this field. Please enter valid data.

Employer providing insurance: REQUIRED Please fill out this field. Please enter valid data.

Medical information in case of an emergency, including pertinent medical history, allergies, medications, or conditions: REQUIRED Please fill out this field.

Emergency contact person:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Relationship to emergency contact: Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

ADULT CONSENT AND RELEASE FOR MEDICAL TREATMENT

Click to view the statement Adult Consent and and Release for Medical Treatment.

I have provided accurate insurance, medical, and emergency contact information and have read and agree to the Adult Consent and Release for Medical Treatment.

I Agree Please select this field.

MEDIA RELEASE FORM

Click to read the diocesan Media Release Form

Response to Media Release Form REQUIRED YES--I have have read the Media Release Form, and I authorize and release my image for use as described. NO--I have have read the Media Release Form, and I DO NOT authorize or release my image for use as described. Please fill out this field.

Signed (please type full name below): REQUIRED Please fill out this field. Please enter valid data.

Comments:

Approved Catechist Questionnaire

Approved Catechist Questionnaire

Ministry Contact