Kicks for Kids Volunteer Registration Spring 2019
Name *
Your answer
Student ID *
If you are not a USC student, please enter your driver's license number and bring a copy of your driver's license to the first event that you attend
Your answer
Email Address *
Your answer
Class Standing *
Are you volunteering with another USC organization? If so, please list below.
Your answer
How did you hear about KFK? *
Sexual Misconduct Information
Please read this statement and answer the following questions to ensure your understanding of the sexual misconduct rules at USC.
50% of victims of sexual misconduct are between the ages of 15 and 17. The average age of first abuse is 9.6. A CDC study shows that 25% of adult women and 16% of adult men reported being sexually abused before the age of 18. Defer to school officials on whether to notify the parents of the child who was harmed. If the parents are not suspected of abusing their child, school officials will promptly notify them of the allegation/investigation. School officials are required to fully investigate allegations of sexual misconduct. Officials will try to keep the reporter’s identity protected, however it may be necessary to disclose his or her name and the nature of the report to the child’s parents, the police or others in the course of the investigation. You are encouraged to report any reasonably suspicious observations to the Kicks for Kids program director and/or school officials immediately even if it turns out that no sexual abuse or misconduct occurred. Purposely false reports can result in discipline. Sexual Abuse = physical touching, solicitation for sexual activity, showing or distributing pornography. Sexual abuse is a form of child abuse. Sexual Misconduct= a broad category of behavior including molestation, rape, abuse, harassment, victimization of children through the internet. Failure of an adult to report child abuse is a criminal offense in most states. 53% of perpetrators are volunteers or interns interacting with children. Setting proper boundaries between children and adults promotes healthy relationships and helps to prevent issues. Know the warning signs: pay particular attention to adults who seek to be alone with a child in locations like private residences, bathrooms, automobiles, offices, etc., sexual language, gestures or play, isolating the child, giving gifts, etc. Kicks for Kids volunteers should never be alone with their buddies away from the group. Volunteers should not schedule meetings with children after regular volunteer hours or outside of program-sponsored activities. Touching: Avoid touching your buddy if at all possible. Always use discretion when touching buddies in any capacity. Hugging, giving encouragement, teaching, etc. are acceptable unless the child resists or states otherwise. A child’s breasts, buttocks and groin area should never be touched by a volunteer. Should an emergency arise involving any of those areas, immediately contact a supervisor, director or parent. Physical restraint should never be used with children- if it is observed, even in a non-sexual manner, it should be properly reported and documented. Volunteers should avoid intimate displays of affection toward any other person while on duty. *
By electronically signing my name below, I understand and acknowledge my responsibility to avoid and report known or suspected sexual misconduct in compliance with USC requirements.
Your answer
What is the average age of first sexual abuse against a child? *
____ % of women and ____ % of men report having been sexually abused before the age of 18. *
Who should you inform immediately of suspected sexual abuse? *
Which of the following constitutes as sexual abuse? *
Choose all that apply
You should _______ be alone with your buddy. *
Which of the following should always be avoided when interacting with buddies? *
Choose all that apply.
Acknowledgement of Duty To Report Child Abuse: California law requires certain persons to report known or suspected child abuse or neglect. These individuals are known under the law as “mandated reporters.” Because of the nature of your job responsibilities, you are a mandated reporter. California law requires certain persons to report known or suspected child abuse or neglect. These individuals are known under the law as “mandated reporters.” Because of the nature of your job responsibilities, you are a mandated reporter. A mandated reporter, who in his or her professional capacity, or within the scope of his or her employment, has knowledge of or observes a person under the age of 18 years whom he or she knows or reasonably suspects has been the victim of child abuse or neglect must report the suspected incident. The reporter must contact a designated agency immediately or as soon as practically possible by telephone, and shall prepare and send a written report within 36 hours of receiving the information concerning the incident ABUSE THAT MUST BE REPORTED: • Physical injury inflicted by other than accidental means on a child. • Sexual abuse meaning sexual assault or sexual exploitation of a child. • Neglect meaning the negligent treatment, lack of treatment, or the maltreatment of a child by a person responsible for the child’s welfare under circumstances indicating harm or threatened harm to the child’s health or welfare. • Willful harming or injuring or endangering a child meaning a situation in which any person inflicts, or willfully causes or permits a child to suffer unjustifiable physical pain or mental suffering, or causes or permits a child be placed in a situation in which the child or child’s health is endangered. • Unlawful corporal punishment or injury willfully inflicted upon a child and resulting in a traumatic condition. WHERE TO CALL IN AND SEND THE WRITTEN ABUSE REPORT: Reports of suspected child abuse or neglect must be made to each of the following: • Immediately via telephone report to the USC Department of Public Safety at (213) 740­6000 or (213) 740­ 4321. • Immediately via telephone report to theDepartment of Children and Family Services Child Protection Hotline at (800) 540­4000. • Within 36 hours via written report to the Department of Children and Family Services on Form SS8572 (Suspected Child Abuse Report). The Child Protection Hotline will explain how to get the form. A mandated reporter who fails to make a required report is guilty of a misdemeanor punishable by up to six months in jail, a fine of $1000, or both. *
By electronically signing my name below, I understand and acknowledge my responsibility to report known or suspected child abuse in compliance with Penal Code requirements.
Your answer
Never submit passwords through Google Forms.
This form was created inside of University of Southern California. Report Abuse - Terms of Service