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Catholic Diocese of Hong Kong. Undertaking and Declaration for the Protection of Children and Vulnerable Persons

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All personnel involved in services for children and youth under the age of 18 must complete and submit this form. It will be sent to and kept by the Parish Priest of your community.

Document: "Guidelines for the Protection of Children and Vulnerable Persons"

Declaration

Untitled checkboxes field

I have read, accepted, and understood the Catholic Diocese of Hong Kong’s "Guidelines for the Protection of Children and Vulnerable Persons" and I agree to contribute on this premise to establish a safe church, protecting and respecting all individuals, especially children and vulnerable persons.

I commit to treating all children and vulnerable persons equally, regardless of age, gender, language, race, religion, health status, property, opinions, or any status, and to valuing their dignity.

I solemnly declare that I: (1) have not abused any children or vulnerable persons; (2) have not been warned or cautioned for inappropriate behavior towards children or vulnerable persons; (3) have not been accused of inappropriate behavior towards children or vulnerable persons; (4) have not been convicted by a court for any inappropriate behavior towards children or vulnerable persons; (5) have not been convicted by a court for any sexual offenses.

I understand that if I conceal any relevant information in this declaration or provide false or inaccurate information, the diocese reserves the right to terminate my appointment immediately.

First Name (in English)

Last Name (in English)

Name (in Chinese if applicable)

Personal email address

Mobile phone

Affiliated Parish or Organization

Service (select all that apply)

Date

Signature

Appendix

- Children: Any individual under the age of 18 - Vulnerable persons: Individuals who are ill, physically or mentally impaired, or lacking personal freedom. - Abuse: Refers to the following actions towards others - Physical Abuse: Intentionally inflicting physical violence, such as hitting or torturing, resulting in bodily harm; - Psychological Abuse: Intentionally inflicting mental suffering, such as humiliation, intimidation, or control, causing psychological trauma; - Sexual Abuse: Forcing others to participate in unwanted sexual acts, such as sexual assault; or - Neglect: Failing to fulfill care obligations, such as abandonment or neglect, resulting in harm to others