Global Outreach Connection Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Names and Ages of Family Members
Please share in point form your involvement within North Langley Community Church (eg. when you started attending gatherings, groups you have been involved in, volunteer history, etc.)
Are You A Member Of NLCC
Please Select
Yes
No
Member Of Other Church
Please provide the name and email address of one NLCC Pastor, Staff Member, Life Group Leader or Ministry Team Leader that could be a reference for you.
Which Mission agency are you being sent out with?
Are you applying for Short Term (3 years or less) or Long Term (more than 3 years) support?
Please Select
Short Term (Three Years or Less)
Long Term (More Than Three Years)
What is your intended destination and length of first term?
Are you living locally in BC’s Lower Mainland or are you already serving with your agency on the mission field?
If you will be serving locally, please give us a brief understanding of the geographical focus of your work. (ie. Are you serving a particular people group or a global mission, or a mission focussed on work within Canada or the US?)
Submit
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