Catholic Charities Health & Human Services
Summer Day Camp Program

CYO Day Camps and Camp Happiness

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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:

  • CYO Day Camp - any site

  • Camp Happiness - any site

  • Augustine Rainbow Camp

  • St. Martin DePorres Family Center

  • Fatima Family Center

***Forms to Complete***

In order to be eligible to begin work this summer, you must complete some annual training requirements.  They are listed below.  Please click on the form to learn more about how to complete it.

 

NEW FORM - Employee Data Sheet

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 supervisor - some of the tests may say differently at the bottom - only send to your supervisor!

 

NEW FORM - Employee Data Sheet
Download the Employee Data Sheet, fill it out and send it in to your supervisor.
HIPAA
Download/open, read and study the Self Study HIPAA module (PDF, 25pgs.) then download, print and take the HIPAA Test (Word) You MUST pass this test with at least a 75%.

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OSHA Bloodborne Pathogens (BBP)
Download/open, read and study the Self Study BBP module (PDF, 26pgs.) then download, print and take the BBP Test (Word).  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.   At the bottom of this form, it says to send to Christine Horne - Do Not send to Christine...send this to your supervisor!

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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:

  1. If you are current, go to www.virtus.org, log in  and go to your 'my training tab' and print a copy of your training record. Some of you may still need to create your user name and password following directions given to you at your training, last summer, if so you have a lot of reading to do.

  2. If you have not read any articles, click here and go to the Self Study Module and Quiz Page. You will need to read each of the 24 articles and answer the questions, 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 quiz or go online and provide your training record you must also sign and send in the Certificate of Compliance.  At the bottom of this form, it says to send to Kristi Cooch - Do Not send to Kristi...send this to your supervisor!

 

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Conflict of Interest
Download/open this form, read it and sign on the right side if you feel that you do not have a conflict of interest.  You only need to send us the last page.  Download the document here  Conflict of Interest

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Policy for the Safety of Children In Matters of Sexual Abuse
Diocese of Cleveland - Policy for the Safety of Children In Matters of Sexual Abuse was revised in 2007.  Each staff is required to read it and sign the acknowledgement.  Please download the document and print out the last page, sign and send that in to your supervisor.

Policy for the Safety of Children in Matters of Sexual Abuse - Revised 2007

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Fingerprinting
You will need to make an appointment to come to St. Augustine Manor (or possibly Parmadale, depends upon what you arrange and what is available) to get your fingerprints captured so that they can be sent to the Ohio Bureau of Criminal Identification and Investigation (BCII). Do not DELAY, time is passing you by. Find a way to get this complete, make your schedule work (Hint: Mondays all day and Wednesday mornings are bad for HR).

To make arrangements to be fingerprinted, you are required to contact HR, so call or email the HR Office Administrator at 216-334-2913 or email or call Nanette at nxsigel@clevelandcatholiccharities.org  or 216-334-2911 to make an appointment to be fingerprinted.

You are expected to have your fingerprints completed before June 6th.  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.

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Health History
Please click here to download a copy of the health history.  Each staff must complete this form.    Health History Form

Additional Forms for Fatima Family Center

If you work for Fatima Family Center, you are also required to complete following two forms. Please download, complete and sign these forms and get them to your supervisor.

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Driver 'B' Statement
For ALL staff from ALL sites, if you will be driving a company provided vehicle, you must download, complete and sign the Driver 'B' Statement (PDF) and be in compliance with all other CCHHS driver regulations.

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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 and returned to your supervisor.

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 (CYO, Happiness, Rainbow, DePorres, Fatima) and that your Supervisor is also indicated, use the following: CYO/Happiness-Marilyn Scott, Augustine Rainbow Camp-Gerry Kasper, Fatima-Jeanna Davis, Martin DePorres-Kevin Hodges.

Sign your tests, fax or send them to YOUR SUPERVISOR (see chart below).

Here is a list of the forms to send in:

  1. Your signed tests (HIPAA & OSHA)

  2. Hepatitis B Vaccination form

  3. Your Virtus training record showing you are up to date

  4. Virtus quizzes for the articles (if you were not up to date)

  5. Signed Certificate of Compliance and copy of your training record

  6. Conflict of Interest acknowledgement form

  7. Acknowledgement for the Policy for the Safety of Children In Matters of Sexual Abuse

  8. First Aid and/or CPR certification

  9. Health History

  10. If necessary, the Driver 'B' Statement (see below)

  11. Additional forms for Fatima only

Make sure your name and service site are on everything and fax or send a copy to:  You can click on a name to email.

 

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Happiness

Marilyn Scott or

Katie Bildstein

7911 Detroit Ave

Cleveland OH 44102

Fax: 216.334.2905

Rainbow

Gerry Kasper

2486 W. 14th

Cleveland, OH 44113

Fax: 216.781.1124

St. Martin DePorres

Kevin Hodges

1264E. 123rd St.

Cleveland, OH 44108

Fax: 216.268.1207

or email Jeff English

Fatima Family Center

Jeanna Davis

6600 Lexington Ave.

Cleveland, OH, 44103

Fax: 216.391.1118

Catholic Charities Summer Day Camps,  CYO & Camp Happiness, 7911 Detroit Avenue, Cleveland  OH  44102

Phone: 216.334.2963 or 216-334-2964

Email:  mjscott@clevelandcatholiccharities.org or kbildstein@clevelandcatholiccharities.org

Visit the website at www.clevelandcatholiccharities.org/camping

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