Catholic Charities Disability Service and Ministries

Returning Staff

Welcome back! You are on the right page if you worked last summer for Catholic Charities Health and Human Services at any one of the following programs:

Camp Happiness - any site
Augustine Rainbow Camp
St. Martin DePorres Family Center

Fatima Family Center

***Forms for all staff to complete - Deadline is Monday, May 23, 2011***

In order to be eligible to begin work this summer, all camp staff (Happiness, Rainbow, St. Martin DePorres & Fatima) must complete some required annual trainings. They are listed below. Please click on the form to learn more about how to complete it. All forms listed under the Mandatory columns must be completed.

* NEW HIRES - Paperwork to be completed (marked by * below)

All New Hires to Camp Happiness must complete some paperwork before camp training on Monday, June 13. Send the paperwork to Katie at the address at the bottom of this page or bring it with you the first day of training.

Complete ONLY the forms marked below with an *

Click on the title of the form, it will take you to a description where you can then print out the form, read and sign. Or it will take you directly to the form to print out and complete (i.e. health history, tax forms, etc...)

Also print out, read and sign the CCHHS Statement of Ethics

MANDATORY FORMS FOR ALL CAMPS		ADDITIONAL MANDATORY FORMS FOR SPECIFIC CAMPS	OPTIONAL FORMS (to change your address, tax info, etc...)
* HIPAA	* Conflict of Interest	* Health History (Happiness & Rainbow Only)	* Employee Data Sheet
OSHA Bloodborne Pathogens	* Catholic Charities Corporate Integrity & Compliance Plan	ODJFS Medical /TB Results/ Immunization (Fatima Only)	* W4 Federal Tax Withholding
Hepatitis B Vaccination Form	* Catholic Charities USA Code of Ethics	ODJFS Non-Conviction Statement (Fatima Only)	* State of Ohio Tax Exemption Form
Policy for Safety of Children in Matters of Sexual Abuse	* MUI Training from the Cuyahoga Co. Board of DD	Driver B Statement (only if driving company vehicle) (Fatima Only)	* Direct Deposit
Virtus	* BCII & FBI Fingerprinting
Certificate of Compliance	* First Aid / CPR Certification
Where do I mail my completed forms?

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Detailed descriptions for the forms to be completed follows:

Please follow all of the directions below carefully. It is your responsibility to make sure your personnel file is completed in time for camp to start. Remember to send all forms to your designated person, listed at the bottom of this page - some of the tests may say differently.

HIPAA
Download/open, read and study HIPAA - A Presentation for Summer Camps (PDF - 25 pgs). Then download, print and take the HIPAA Test. You MUST pass this test with at least a 75%.

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OSHA Bloodborne Pathogens (BBP)
Download/open, read and study Bloodborne Pathogens - A Self Study course for Summer Camp Staff (PDF, 26pgs.) then download, print and take the Bloodborne Pathogens Test. You MUST pass this test with at least a 75%.

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Hepatitis B Vaccination Form
Download, complete and sign the Hepatitis B Vaccination Form, even if you already have the vaccine, this must be signed, again.

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Policy for Safety of Children in Matters of Sexual Abuse

Click here to read this policy. Then print out this acknowledgement form, sign it and send in to your supervisor, listed below.

Virtus requirement
If you were new last year you will need to provide proof that you are up to date on your training from the Virtus website. If you are not current you better get busy! You have two options:

If you are current, go to www.virtus.org, log in, click on 'my training tab' and print a copy of your training record.
If you have not read any articles, click here. You will need to read each of the 24 articles and answer the questions (the questions are all on one sheet at the top of the list of articles), sign it and send it to your supervisor.

****If last year was your second year or more as a camp staff member, then your Virtus obligation is complete.

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Certificate of Compliance

Whether you take the Virtus quiz or go online and provide your training record you must also sign and send in the Certificate of Compliance.

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Conflict of Interest
Click here to read the Conflict of Interest Policy. After reading the policy, print out the signature page and sign on the right side if you feel that you do not have a conflict of interest. If you feel you are in conflict, please sign the left side and give an explanation in the space provided.

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Catholic Charities Corporate Integrity & Compliance Plan

Click here to read this plan of integrity and compliance. Then print it out and sign at the bottom.

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Catholic Charities USA Code of Ethics

Click here to read this Catholic Charities USA Code of Ethics. Then print it out and sign at the bottom.

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MUI Training from the Cuyahoga County Board of Developmental Disabilities (CCBDD)

Annual training on the rule, Incidents Affecting Health and Safety and notification of the Ohio DoDD Abuser Registry is required by law for ALL employees working with persons with disabilities. Read the self-study guide, which has been designed to meet that training and notification requirement.

After completing the self-study guide: 1) Review the Abuser Registry Annual Notice (on page 9 of the self study there is a link or click on link above). Print out, sign and send with all of your paperwork; 2) Complete the Self-Study Test. Print out, complete and send with all of your paperwork. You must pass this test with a 75% or better grade. If you fail to pass the test you will be required to attend a training session.

BCII & FBI Fingerprinting
You will need to make an appointment to come to St. Augustine Manor to get your fingerprints captured so that they can be sent to the Ohio Bureau of Criminal Identification and Investigation (BCII & FBI). Please Do Not Delay, we must have your fingerprints taken before camp begins or you cannot start work.

Availability for fingerprinting: Mondays from 2-4 pm are good; Wednesday 10am-4pm; Friday 11am-3pm.

To make arrangements to be fingerprinted, you are required to call HR first - Do Not Just Stop In!! Call Lori Marrelli at 216-334-2913 to make an appointment to be fingerprinted. Click here for directions to St. Augustine Manor.

You are expected to have your fingerprints completed before June 1st. You must bring your driver's license or state ID with you to your appointment.

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First Aid / CPR
If you have current certification in First Aid and/or CPR, please send us a copy of that certification. You may need to update your certification.

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Fatima Family Center Only

Please read the Drivers Policy below (no need to print it out), then print out and sign the Statement. Send to your supervisor.

Open and read the Drivers Policy (only if driving a company vehicle)
Print out and sign the Driver B Statement (only if driving a company vehicle)
Send a copy of your current State of Ohio Driver's License (only if driving)

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NOTE: If ANY of the above requirements are missing or incomplete you will not be able to begin to work this summer until your records are completed & returned to your supervisor. Deadline - Monday, June 1

YOU ARE FINALLY DONE!!!
When you have completed each test/form, make sure your first and last name is printed legibly, that your Service Site is indicated (Happiness, Rainbow, DePorres, Fatima) and that your Supervisor is also indicated. Sign your tests, fax or send them to YOUR SUPERVISOR (see chart below). Here is a list of the forms that must be sent in: