HM UK apply

History Makers UK

6-8 November 2020
and
15-17 January 2021

Application Form

* Indicates required field

Name *

First

Last

Title (e.g. Mr, Mrs) *

Date of Birth (DD/MM/YY) *

Gender *

Male Female

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Mobile Phone Number *

Email *

Nationality *

Marital status *

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

Emergency Contact Name *

First

Last

Emergency Contact Number *

Any health/dietary requirements *

Name of Home Church *

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

Please write a four-line biography of yourself *

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 £100 deposit is required to secure your place.

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​6-8 November 2020and15-17 January 2021​Application Form

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

History Makers UK

6-8 November 2020
and
15-17 January 2021

Application Form