SAFE ENVIRONMENT FORM PORTAL
Please follow the flow chart diagrams accessible through the buttons to the right for which forms are required depending on your position. Forms can be (1) submitted online, (2) printed off and filled in by hand and mailed in, or (3) printed off and filled in by hand then scanned and sent via email; any of these option is acceptable and will be processed in the same manner. Any questions regarding Safe Environment forms can be directed to:
Christian Kuehner / (608) 791-2673 / ckuehner@diolc.org
CURRENT FORMS (2026-2027)
(644-A) Basic Background Check
(644-B) SE Training Verification
(644-C) Confidential Questionnaire
(644-D) Verification / Declination of Protect & Heal Training
(644-E) Sexual Misconduct Report Form & Procedures
(644-F) Code of Conduct for the Diocese of La Crosse
(644-G) Safe Environment Ledger
(644-H) Yearly Update Form
(644-I) Letter of Suitability Request
(644-J) School SE Requirements Flow Chart
(644-K) Parish SE Requirements Flow Chart
(644-L) MVR Authorization Form... "Driving Form"
(644-M) Diocese of La Crosse Screening Requirements by Position
