Screening Form & Reference Check Authorization
Please provide name, relationship, address, telephone, and email of three references, including your pastor and two personal references (no relatives, please).
The information contained in the screening form is correct to the best of my knowledge. 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.
1. I have read and fully understand all questions requested in this form.
2. I certify that all answers given by me are true, accurate and complete.
3. I understand that the completion and/or execution of this screening form does not ensure me a volunteer position, nor does it obligate me or the organization in any way.
4. I fully understand that the omission and/or misrepresentation of facts requested may be cause for immediate dismissal without prior notice.
5. I authorize the organization to contact the personal references listed herein, and authorize such references to give any information (including opinions) they may have regarding my character and fitness for children’s work.
6. I have read the CEF Child Protection Policy and viewed or heard the “Protection Today’s Child” presentation and agree to follow all policies and procedures in handling any child abuse situation that may arise.
7. I have read and agree to the Statement of Faith and the Ministry Compliance Agreement.
8. If accepted for service, I agree to abide by the policies of Child Evangelism Fellowship, Inc.
9. I acknowledge my responsibility to be careful and conscientious in reporting any suspicions of child abuse to my CEF representative.
This is a legally binding agreement which I have read and understood.
Optional Photo Release: "I understand that Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photos or videos. By signing below I, the parent/guardian, give Child Evangelism Fellowship® permission to have full use of all photographs/videos of the previously named child. I understand that my child’s name or identifying information will not be used publicly without my additional written consent. I understand that the images may be used for promotional purposes and in publications, including but not limited to: newsletters, brochures, posters, e-newsletters, websites, and social media.”
