ADLA AND SGMHS FORMS

All ADLA and SGMHS required forms for 2020-2021 are linked here.  Below are a sample of those forms. 

ARCHDIOCESE OF LOS ANGELES GUIDELINES FOR ADULTS INTERACTING WITH MINORS AT PARISH OR PARISH SCHOOL ACTIVITIES OR EVENTS Revised 2/2015 

Adults acting in a staff, faculty, ministerial or other paid or volunteer position in the Archdiocese are role models who are called to treat each minor with respect and care. Clergy/staff members/faculty/volunteers serving either in a paid or volunteer position need to maintain professional relationships with minors whether on or off the parish or parish school locations. Please review the following guidelines and sign the “Acknowledgement of Receipt” for the file at the parish or school where you work or volunteer. 

• Clergy/staff members/faculty/volunteers will ensure that minors are properly supervised at all times, thus providing them a safe environment. Minors must be viewed as “restricted individuals” because they are not adults and are not independent. 

• If clergy/staff members/faculty/volunteers who are supervising minors observe a situation where civil law, parish and/or school rules are being violated, they must take appropriate action immediately. 

• Clergy/staff members/faculty/volunteers should always be aware they have considerable personal power because of their ministerial positions. Therefore, they will maintain respectful ministerial relationships, avoiding manipulation and other abuses of power. 

• Clergy/staff members/faculty/volunteers must avoid assuming the role of a “father or mother figure,” which may create an excessive emotional attachment for all parties. 

• Attraction between adults and minors is possible, and care and caution should be taken in all interactions. The relationships between parish/school a clergy/staff between administration a clergy/staff member/faculty/volunteer should member/faculty be informed ty/volunteer immediately and a minor and if such are a minor an inappropriate attraction are unlawful. exists. and Dating unethical. or sexual Dating relationships or sexual

 • Communications with minors (e.g., notes, letters, e-mail and Internet exchanges, telephone calls) must be for professional reasons only. 

• Discussions of a sexual nature must always take place in an appropriate educational context. Sexual jokes, slang or innuendo are inappropriate when interacting with minors. 

• Clergy/staff members/faculty/volunteers will respect confidential information concerning minors or confidential information of a personal nature shared by a minor. However, if a minor shares confidential information that could pose a threat to the minor or to others, the clergy/staff member/faculty/volunteer has an obligation to notify the proper authorities. 

• When clergy/staff members/faculty/volunteers are supervising minors or young adults at parish or parish school- sponsored activities, they may not be under the influence of alcohol, may not consume alcohol in the presence of persons under age 21, nor offer alcohol to them. 

• When a clergy/staff member/faculty/volunteer is alone in a room with a minor, the door must be open, or there must be clear visibility through windows. 

• Clergy/staff members/faculty/volunteers are to engage in games or sports activities with minors only in the presence of other adults, or in a place openly accessible/visible to others. 

• Clergy/staff members/faculty/volunteers planning parish/school events in their homes with minors must have the permission of the parish/school administration. In addition, clergy/staff members/faculty/volunteers may not have any minors in their homes without the knowledge of the minor’s parent or guardian. 

• Clergy/staff members/faculty/volunteers may not drive minors unless it is to or from a parish/parish school - sponsored activity and may never drive alone with a minor. Driving minors requires parental permission slips that indicate the transportation is by personal vehicle. The parish/parish school administration must approve any use of personal vehicles. Trips involving minors must have a sufficient number of adult chaperones and minors to preclude the appearance of inappropriate personal involvement with minors. 

• Parent/guardian written permission is required for the publication of a picture of a minor. 

• Adults are permitted to interact alone with minor/minors only after complying with Archdiocesan policies regarding fingerprinting and safe environment training. 

ACKNOWLEDGMENT OF RECEIPT OF

GUIDELINES FOR ADULTS INTERACTING WITH MINORS

AT PARISH/SCHOOL ACTIVITIES OR EVENTS

I have received and agree to comply with the Guidelines for Adults Interacting with Minors at Parish, Parish School, Youth Ministry or Religious Education Activities or Events of the Archdiocese of Los Angeles. As stated in the copy of these guidelines: “All adults working or volunteering with minors are also accountable to follow all policies contained in any other ‘Handbooks’ that the parish/school may use’ (i.e.: Catholic Schools Handbook, Parish ministry handbook, etc.). All adults acting in a staff, faculty, ministerial or other paid or volunteer * position in the Archdiocese are role models who are called to treat each minor with respect and care. Clergy/staff members/faculty/volunteers serving either in a paid or volunteer position need to maintain professional relationships with minors whether on or off the parish or parish school locations.” These guidelines are part of the commitment of the Archdiocese of Los Angeles to keep children and youth safe and to provide a role model for all minors under our care.

Activity(ies) or Event(s) in which I am involved:

_____________________________________________________________________________________

_____________________________________________________________________________________

Name (please print legibly): ________________________________________________________________

Signature: ______________________________________________________________________________

Date: _________________________________________________________________________________

SGMHS Computer Network/WIFI/Email/RemotePlatforms Use Permission Slip 2020-2021:

Name of Student: ____________________________________________________ Grade: ____________

(Please type or print: Last Name, First Name)

For the school to be effective with the student it is essential that a spirit of cooperation, trust and support exist between the school and the parent. It is for this reason that we ask the family to become familiar with the philosophy, policies and procedures developed and enforced by San Gabriel Mission High School.

It may sometimes happen that a family cannot be supportive of the school and its philosophy, policies and procedures. Should a manifest lack of agreement reach the point where the school judges that the necessary and appropriate relationship no longer exists, the family will be asked to withdraw the student from the school. _____________________________________________________________________________________________

We have read the ADLA/SGMHS Acceptable Use Policy for use of the school’s Computer Network (LINK). We hereby release San Gabriel Mission High School, the Los Angeles Archdiocese, its personnel, and any institutions with which it is affiliated, from any and all claims and damages of any nature arising from our daughter's (or legal ward) use of, or inability to use the SGMHS Computer Network, including, but not limited to claims that may arise from the unauthorized use of the Network to purchase products or services. Website link - (http://handbook.la-archdiocese.org/chapter-10/section-10-3)

We will instruct our daughter regarding any restrictions against accessing materials on the Internet set forth in the SGMHS Acceptable Use Policy. We will also advise and emphasize the importance of following rules for personal safety.

Parent/Guardian Section: Please initial the appropriate statement that applies to your daughter:

 ____We give permission for my daughter to use the SGMHS Computer Network/WIFI/Email/RemotePlatforms to access the Internet.

____We do not give permission for my daughter to use the SGMHS Computer Network/WIFI/Email/RemotePlatforms to access the Internet.

We agree to abide by all rules and regulations of San Gabriel Mission High School both stated and implied. We also understand that the Principal and the Administration have the right to amend rules and regulations as necessary during the school year.

We, the undersigned, have read and understand the contents of this handbook.

Parent/Guardian (Print) _________________________________Signature _____________________Date________

Parent/Guardian (Print) _________________________________Signature _____________________Date________

Student Section: I have read the SGMHS Acceptable Use Policy for use of the school’s Computer Network. I agree to follow the rules contained in this Policy. I understand that if I violate the rules, my access to the Network may be terminated and I may face other disciplinary measures. 

Student (Print) _________________________________Signature _____________________Date________

SAN GABRIEL MISSION HIGH SCHOOL

BRING YOUR OWN DEVICE POLICY ACKNOWLEDGEMENT FORM

2020-2021

This Acknowledgement Form is to be completed by Parent/Legal Guardian. 

I/We, the parent(s)/guardian of _________________________________________________, a student of San Gabriel Mission High School, have received, read, understand, and discussed with my child the Bring Your Own Device (BYOD) Policy. By signing the Acknowledgement Form, I/we agree to all its terms.

 ___________________________________ _________________________________ 

Printed name of Parent(s)/Guardian Signature of Parent(s)/Guardian 

__________________________________ _________________________________ 

Printed name of Student Signature of Student 

_________________________________ _________________________________ 

Date Date

STUDENT LAST NAME________________________ FIRST NAME______________________GRADE_____

SGMHS Honor Code 2020-2021

San Gabriel Mission High School’s 

Woman of Mission Student Body Honor Code 

SGMHS’s Honor Code Statement of a Woman of Mission 

AS A WOMAN OF MISSION, I AM ENTRUSTED WITH THE RESPONSIBILITY OF UPHOLDING AND CONTRIBUTING TO AN ATMOSPHERE OF RESPECT, MOTIVATION, DEPTH, CHARACTER, AND INTEGRITY ON AND OFF CAMPUS. MY PERSONAL HONOR IS ESSENTIAL TO PRESERVE MY GOOD NAME AND THE INTEGRITY OF THE SGMHS COMMUNITY.  THE HONOR CODE BEGINS AS SOON AS I BECOME A MEMBER OF  SGMHS AND INVOLVES NOT ONLY FOLLOWING THE RULES AS SET FORTH BY SGMHS AND THE ARCHDIOCESE OF LOS ANGELES, BUT ALSO HOW I EMBODY THE SGMHS ISO’S AND CARRY MYSELF AS A WOMAN OF MISSION.  

Woman of Mission Pledge:

As a Woman of Mission, I, _____________________(print name), pledge on my honor, to do my best to honor the code of a Woman of Mission which not only includes the policies and procedures set forth by the Archdiocese of Los Angeles and SGMHS as seen in the SGMHS Student/Parent Handbook as well as my classroom, but also to carry myself as a Woman of Respect, Motivation, Depth, Character, and Integrity wherever I may go.  I will also do my best to encourage my SGMHS sisters to be Women of Mission.

My signature acknowledges that I have read the SGMHS Student/Parent Handbook and/or were made aware of its contents and the consequences should I choose to violate the expectations set forth by the SGMHS Administration.  

________________________   _________ _________________________   _______

Student Signature   date Parent/Guardian Signature     date