Big 3 apply

Big 3 Application Form (please enter information as it appears on your passport)

* Indicates required field

Name *

First

Last

Title (e.g. Mr, Mrs) *

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of Home Church *

Home Phone Number *

Mobile Phone Number *

Email *

Emergency Contact Name *

First

Last

Emergency Contact Number *

Please indicate your order of preference for the missions:
(insert numbers 1-3 in the boxes below, with 1 indicating your preferred mission).

Girona, Spain - 14-17 July *

Reykjavik, Iceland - 14-17 July *

Harrogate, UK - 10-13 July *

Describe your present work/ministry (please include your involvement/service with your local church) *

Describe your past ministry experience (please include details of any training, major conferences, courses, previous outreach or mission work) *

Testimony - please briefly explain how you became a Christian and describe your Christian life now. *

Any health or dietary requirements of which we should be aware. *

Reference - we may take up a reference as part of this application. Please provide the contact details of your pastor/vicar/church leader.

Name of referee *

First

Last

Phone Number *

Church name *

Mobile Phone Number *

Referee email *

Upon acceptance of your application a deposit will be payable in order to secure your place (£100 for Girona, £100 for Reykjavik, or £50 for Harrogate).

The total costs for Big 3 2017 are:
Early bird price for applications received by Tuesday 28 February 2017 - Harrogate £105, Girona £250, Reykjavik £250.
Full price for applications received after 28 February 2017 - Harrogate £115, Girona £270, Reykjavik £270.

Privacy notice: We will only use this information to make a decision on your application, and to contact you, or your referee, with regard to Big3 2017. This information will not be shared outside of K180.

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