Mosaic Psychological Services, LLC is committed to providing a safe environment for the children it serves. The Diana Screen is an online sexual risk screening tool designed by Abel Screening, Inc. to help youth-serving agencies screen candidates for staff, volunteer, and foster care positions with children.
I hereby give my consent to take The Diana Screen as part of the agency's employment/volunteer/foster care selection process.
1. Failure to consent to and complete The Diana Screen will/may result in denial of a position.
2.My Diana Screen answers and results will be identified in the computer by a test identification number only. My name will not be entered into the computer nor provided to Abel Screening, Inc.
3. My individual answers to the questions on The Diana Screen R will not be shared.
4. My answers will go to Abel Screening, Inc., in Atlanta, Georgia for scoring.
5. My pass/fail results will be provided to requesting agency.
6. Abel Screening, Inc. will use my answers without my name for research to protect children.
I understand and agree to release Abel Screening, Inc., Mosaic Psychological Services, LLC, from all liability for damages that may result from the use of The Diana Screen in the selection process for positions that work directly with, around, or provide care for children. This release is binding, now and in the future, on my heirs, assigns associates, and personal representatives of any nature.