Lakelands Annual

LAKELANDS Annual Service Agreements

Greenwood, Abbeville, McCormick, Edgefield & Saluda Counties

Updated December 2022

Click on the links to review or watch the 3 following items to complete the response form below.

1. REVIEW the Statement of Faith Determine if you are in agreement to serve with CEF.
2. REVIEW the Worker's Compliance Agreement Determine if you are in agreement to serve with CEF.
3. WATCH the "Protecting Today's Child" Video Understand your responsibility regarding the children and CEF.

IMPORTANT NOTICE: Working with children, you should be aware of child protection laws within South Carolina. For details on South Carolina Children's Code click here. For additional information on recognizing and reporting suspected child abuse or neglect, click here .

Complete this form in agreement to serve another year:

NOTES:
1. ON ELECTRONIC FORMS, YOUR TYPED SIGNATURE HAS THE SAME EFFECT AS YOUR WRITTEN SIGNATURE.
2. ITEMS WITH RED ASTERISK ARE REQUIRED. THE FORM WILL NOT SUBMIT WITHOUT THESE ITEMS COMPLETED.

* Indicates required field

UPDATE YOUR INFORMATION

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Address Since (month/year) *

Phone Number *

County in SC You Live *

Email *

Ministry Location *

Church you attend: *

Updated August 2021

REAFFIRM YOUR AGREEMENTS

Check Appropriate *

I am in agreement with the "Statement of Faith" I will abide by the "Worker's Compliance Agreement" I have reviewed the "Protecting Today's Child" video presentation within the past 12 months I will abide by the policies of CEF as long as I am involved.

Typed Authorized Signature (Type your name here) *

UPDATE YOUR SELF-DISCLOSURE

Have you ever been convicted of a crime (not previously disclosed)? *

Yes No

If yes, please explain and give county and state of conviction: *

Have you ever been accused of child abuse (not previously disclosed? *

Yes No

If yes, please explain: *

Submit