HM UK apply

History Makers UK

5-7 March 2021
and
21-23 May 2021

Application Form

PERSONAL DETAILS

* Indicates required field

Name *

First

Last

Title (e.g. Mr, Mrs) *

Gender *

Male Female

Date of Birth (DD/MM/YY) *

Mobile Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Are you employed/studying/in ministry/other? *

Any health/dietary requirements *

Name of Home Church *

Emergency Contact Name *

First

Last

Emergency Contact Number *

Did you attend a History Makers Online course in 2020? *

Yes No

If you answered 'Yes', please go to section 4

If you answered 'No', please go to section 2

Testimony - please share your Christian journey including any significant points in your spiritual journey. (Please use less than 200 words). *

Why would you like to attend History Makers and what do you expect to gain from taking part? (One paragraph only please). *

Please give details of your church leader who can provide a reference for you.

Name of church leader *

First

Last

Phone Number *

Email *

Mobile Phone Number *

Once your application is confirmed, a £50 deposit is required to secure your place. The remaining balance will then be due by 13 February 2021.

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 HM UK. We will not share your personal data outside of K180 and the HM UK leadership team without your consent. See our Privacy Notice for more information.

Submit

History Makers UK​5-7 March 2021and21-23 May 2021​Application Form

Please give details of your church leader who can provide a reference for you.

History Makers UK

5-7 March 2021
and
21-23 May 2021

Application Form