HM UK apply

History Makers UK
28 August - 2 September 2018

Application Form

* Indicates required field

Name *

First

Last

Title (e.g. Mr, Mrs) *

Date of Birth (DD/MM/YY) *

Gender *

Nationality *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Mobile Phone Number *

Email *

Name of Home Church *

Marital status *

If married, spouse's name *

Number of children, if any *

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

Current position *

Nature of your job/responsibility *

Emergency Contact Name *

First

Last

Emergency Contact Number *

Any health/dietary requirements *

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 write a four-line biography of yourself *

The total cost of HMUK 2018 is £300 per person.
Once your application is confirmed, a £100 deposit is required to secure your place.

Please give details of two leaders who can provide references for you, one of these should be your church leader.

Name of referee 1 *

First

Last

Position *

Email *

Phone Number *

Mobile Phone Number *

Name of referee 2 *

First

Last

Position *

Email *

Phone Number *

Mobile Phone Number *

Use of personal data: We will only use this information to make a decision on your application, and to contact you, or your referees, 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 UK28 August - 2 September 2018​​Application Form

Please give details of two leaders who can provide references for you, one of these should be your church leader.

History Makers UK
28 August - 2 September 2018

Application Form