ASA Lakelands

lakelands Annual Service Agreements

Serving Abbeville, Edgefield, Greenwood, McCormick, and Saluda counties

To remain active, all workers must review & watch the following 3 items annually before completing the form below.

1. REVIEW the Statement of Faith Determine if you are in agreement to serve with CEF.
2. REVIEW the Ministry 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 COMPLETING THESE ITEMS.

UPDATE YOUR INFORMATION

REAFFIRM YOUR AGREEMENTS

* Indicates required field

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 *

Check Appropriately *

I am in agreement with the "Statement of Faith" I will abide by the "Ministry 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

lakelands ​Annual Service Agreements

​UPDATE YOUR INFORMATION

​REAFFIRM YOUR AGREEMENTS

UPDATE YOUR SELF-DISCLOSURE

lakelands Annual Service Agreements

UPDATE YOUR INFORMATION

REAFFIRM YOUR AGREEMENTS