Worker's Compliance Agreement (WCA)
Team Leader (s) / Club Name(s)
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5-Day Club Host - Merci Rusli
BALDY VIEW - Allison Roberts
BANYAN - Ginger Reno
BELLA VISTA - Jeany Kung
CALIFORNIA - Lissette Pelayo
CEDARLANE - Irma Akers
CHRISTMAS PARTY CLUB - Pam Burton
CLAREMONT COMMUNITY CHURCH - LouAnne Andersen/Angie Hancock
CLOVERLY - Mary Robles
CYIA [STUDENT] - Merci Rusli
EAGLES NEST PRE-SCHOOL - Edeliza Mainit
EL CAMINO - Sandi Missick
FECA - JOY HO
GLEN OAK - Dawn Faulkner
GRACE GARDEN CHRISTIAN PRESCHOOL - Peter Lee (Amy Wu)
GROWING TREE PRE-SCHOOL - Peter Lee (Hai Yin Fang)
HACIENDA HEIGHTS CHRISTIAN PRESCHOOL - Michelle Breidinger
HIDDEN TRAILS - Susan Chow
HOCELA - Bing Chu
HOLLINGWORTH - Gihan Schmitt
HOWARD - Kelly Pawley
KWIS - Faith Fults
LA COUNTY FAIR - John Burton
LA ROSA - Pam Burton
LOS MOLINOS - Patty Gabriel
MONTEREY HIGHLANDS - Marian Wong
NEWTON - Joseph Shin
REPETTO - Tom Lim
RORIMER - Lorene Batres
SELLERS - Jill Beechler
STANTON - Armando Corella
WASHINGTON -Jody Schrock
Other
Are you a new or returning volunteer?
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New
Returning
Name (Same as your Driver's License)
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First Name
Middle Name
Last Name
Email
*
example@example.com
Phone Number
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Mobile # that can receive text is preferred
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Affiliation
*
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Have you ever been convicted of a crime? If yes, please explain & give county & state of conviction. Or type "N/A"
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Have you ever been accused of child abuse? If yes, please explain. Or type "N/A"
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Please explain briefly your salvation experience.
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Is there anything that would call into question you being entrusted with the supervision, guidance and care of children or young people? If yes, please explain. Or type "N/A"
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Why are you interested in getting involved with CEF Ministry in this capacity? Or type "N/A"
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Share with us any previous experiences you might have had in working with children. Or type "N/A"
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Describe any painful life experiences you had as a child/minor which may hinder you from a productive ministry with children. Or type "N/A"
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ID Check (Driver License, California ID, Passport for adult volunteers or Student ID if under 18). If you have trouble uploading, skip this part. Our office admin will reach out to you upon receipt.
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For Underage Volunteers Only
Be sure to forward the online reference forms to the respective party after you submit this form, ie. To Non-Relative, please send http://cefsgv.org/non-relative; To Pastor, please send http://cefsgv.org/pastor.
(For Underage Volunteers Only) Non-relative Reference Contact
First Name
Last Name
Guardian Email
example@example.com
Guardian Phone Number
Please enter a valid phone number.
(For Underage Volunteers Only) Pastor Reference Contact
First Name
Last Name
Pastor's Email
example@example.com
Pastor's Phone Number
Please enter a valid phone number.
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Thank you for co-working with CEF in reaching children for Christ!
On digital forms your submission carries the same weight as your written signature.
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