Workers Compliance Agreement

CEF Ministry Compliance Agreement
Full Name

First NameMiddle initialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Church Affiliation
What program will you be volunteering with (Good News Club, 5-Day Club, CYIA, Board/Committee)?
Statement of Faith
Workers Compliance Agreement
CEF Policy
Child Protection Policy
Permission to Transfer Screening Information
Electronic Signature: By entering my name below, I accept the above conditions and releases.

First NameLast Name
Current Date

MonthDayYear
Date
(If under 18) Electronic Signature of Parent/Guardian: By entering my name below, I accept the above conditions and releases.

First NameLast Name
Current Date

MonthDayYear
Date
Should be Empty:

CEF Ministry Compliance Agreement