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Contact Us
Maritza Gonzalez
Big 5 Application Form 2025
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 preference below, by inserting numbers 1-5, with 1 indicating your preferred location.
Edinburgh
*
Glasgow
*
Stirling
*
Aberdeen
*
Perth
*
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 confirmation of your application a deposit of £50 is required to secure your place. The remaining balance will be payable by Thursday 27 March 2025.
Use of personal data: We will treat your personal information with respect. Please see our
Privacy Notice
for more information.
Once you click ‘submit
’,
please email Johnny at
[email protected]
to confirm your form has been safely received. Many thanks.
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