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Contact Us
Scott Gentry
Big 3 Application Form 2021
(please enter information as it appears on your passport)
PERSONAL INFORMATION
*
Indicates required field
Name
*
First
Last
Title (e.g. Mr, Mrs)
*
Date of Birth
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
*
Mobile Phone Number
*
Email
*
Name of Home Church
*
Any health or dietary requirements of which we should be aware.
*
Emergency Contact Name
*
First
Last
Only for emergency use during the mission
Emergency Contact Number
*
Only for emergency use during the mission
Relationship to you
*
1.
Please indicate your order of preference for the missions:
(insert numbers 1-3 in the boxes below, with 1 indicating your preferred mission).
Edinburgh
*
Blackpool
*
London
*
2.
Have you previously been on a K180 mission team, or are you currently involved in street ministry with K180?
*
Yes
No
If you answered '
No
', please go straight to
section 3
If you answered '
Yes
', please give brief details in the next box and then go straight to
section 5
Details
*
3.
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 - if you have not participated in a K180 mission before, please briefly explain how you became a Christian and describe your Christian life now.
*
4.
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
This should be your church leader.
Phone Number
*
Mobile Phone Number
*
Referee email
*
Church name
*
5.
Upon acceptance of your application a £50* deposit will be payable in order to secure your place.
The total costs for Big 3 2021, payable in full by 30th April 2021, are:
London, FREE*; Blackpool, £100 per person; Edinburgh, £125 per person.
Please note that you are also responsible for your own travel costs to and from the relevant city. Please see the
Big 3
webpage for full details.
*Note:
for London, there is no payment for the mission, just pay your own travel & food costs.
Let us know if you require accommodation for the London team mission and we will help as we can.
Use of personal data: We will only use this information to make a decision on your application, and to contact you, or your referee, with regard to Big3 2021. We will not share your personal data outside of K180 without your consent. See our
Privacy Notice
for more information.
Submit