Lakelands Under 18 App

Your Name *

First

Last

Preferred Name or Nickname *

Date of Birth (month/day/year) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please provide a DETAILED account of your salvation experience. Include the circumstances leading to your confession of sin, belief in Christ as Savior and a verse from God's Word that assures you of your salvation. *

Gender *

Phone Number (include area code) *

Email *

How long have you lived at this address? *

Partnering Church *

Planned Ministry Location (ex: ABC Elem School; neighborhood club; etc) *

List any experience that has prepared you for children’s ministry. *

Have You served with CEF in the past? *

If you HAVE served with CEF in the past, please indicate what location. *

SECTION 2: BACKGROUND INFORMATION

Section 3: References

To help expedite the process be sure to contact your references asking them to look for an email or phone call from CEF.

CHURCH LEADER REFERENCE

PERSONAL REFERENCE #1

Personal Reference #1 Name (Not a relative) *

First

Last

Place from which you know this person (ie: work; neighbor; club; sport; etc) *

Personal Reference #1 Email *

How do you know this person? *

How many years have you known this person? *

Personal Reference #1 Phone Number *

Personal Reference #2

Personal Reference #2 Name (Not a relative) *

First

Last

Place from which you know this person (ie: work; neighbor; club; sport; etc) *

Personal Reference #2 Email *

How do you know this person? *

How many years have you known this person? *

Personal Reference #2 Phone Number *

Section 4: Agreements

NOTE: To serve as a volunteer with CEF you, the applicant, must complete and agree with all 9 items listed below. If for some reason you are unable or unwilling to agree with any of these 9 items, you will not be able to complete the application process or serve with CEF.

SECTION 5: LEGAL SIGNATURES

NOTE: ON ELECTRONIC FORMS, YOUR TYPED SIGNATURE HAS THE SAME EFFECT AS YOUR WRITTEN SIGNATURE.

Release Authorization:
By signing below, I hereby release Child Evangelism Fellowship and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any liability for damages of whatever kind, which may at any time result to me, my heirs, family, or associates because of compliance with this authorization and request to release information. I may be contacted as indicated below. A copy of this authorization (if not previously destroyed in accordance with record retention policies) will be given to me, provided I request it in writing.

The information contained in this screening form is correct to the best of my knowledge. I authorize any references listed on this application to give you any information (including opinions) they may have regarding my character and fitness for children’s work. I hereby release any individual, church, youth organization, employer, charity, reference, or any other person or organization, both individually or collectively, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs or my family on account of compliance or any attempts to comply with this authorization, excepting only the communication of knowingly false information. This is a legally binding agreement which I have read and understand.

Volunteer Service application - UNDER AGE 18

Section 1: Personal Information

SECTION 2: BACKGROUND INFORMATION

Section 3: References

CHURCH LEADER REFERENCE

PERSONAL REFERENCE #1

Personal Reference #2

Section 4: Agreements

SECTION 5: LEGAL SIGNATURES

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