Please read through this form carefully as you begin filling it out, to ensure that you are able to answer all the questions. Don't hesitate to consult with others on your team, however, we only can receive one questionnaire per organization. Please provide your valid email when completing this form, so that you receive a copy when you are finished. You will be able to save this form and come back to it later if you are not able to answer all the questions. The questions we are posing on this worksheet will assist us in the preparation of a first draft of a customized written safeguarding policy for your organization.

The development, preparation and distribution of your policy will be undertaken with great care. However, Plan to Protect® , our employees and agents are not responsible for any errors contained within it or for consequences that may ensue from use of our products or the information contained within them. We will provide you with a customized written draft of a policy for you to carefully review and edit. It will only be as current as the date of distribution and does not reflect subsequent changes in law. The draft policy will be distributed with the understanding it does not constitute legal advice. Plan to Protect® strongly encourages you to seek legal counsel as well as counsel from your insurance company who can provide an opinion concerning the specifics of your particular situation.

The draft policies prepared for you will be adapted from the Plan to Protect® Safeguarding Guide for Children, Youth and Adults, which is copyright protected. The purchaser of the policies may not share, distribute, sell or donate samples of the policies to other organizations without written permission from Plan to Protect®. The policies we put together are not to be put on your website for public access. We appreciate your cooperation in this regard.

Upon completion of this form you will receive a copy of your responses.