R-7 Worker Compliance Agreement

CEF Ministry Compliance Agreement

Annual Renewal
If you have not viewed the Protecting Today's Child Presentation in the last year, please do it now.
Provide your contact information and sign.
First Name (use legal name)*
Last Name (use legal name)*
Nickname

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email*
example@example.com
Church Affiliation
Local Chapter*

East Central - Green Bay, AppletonGreater Madison - Madison, JanesvilleNorth Central - Wausau, Wisc RapidsSt Croix - Amery, HudsonSoutheast - Milwaukee, RacineUpper Fox River - Portage, Fond du LacWestern WI - LaCrosse, TomahOther
Chapter
Ministry Compliance Agreement
Check to indicate agreement with the following statements*

My agreement with the Statement of FaithI will abide by the above CEF Ministry Compliance AgreementI will abide by the policies of CEF as long as I am actively involvedI have reviewed the Protecting Today's Child Presentation in the last 12 months
Form Code
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

CEF Ministry Compliance Agreement