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)?*
I have read and am in agreement with the Statement of Faith.
I have read and will abide by the Worker's Compliance Agreement.
I will abide by the policies of CEF as long as I am actively involved.
I have reviewed the Protecting Today's Child presentation (866-878-4182 or www.cefonline.com/childprotection) in the last 12 months.
I hereby authorize Child Evangelism Fellowship to transfer a copy the following screening materials (Confidential Screening, Criminal Background Check, Reference Information) to CEF of Illinois 708 E. Archer Ave Peoria, IL 61603
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