Missions Furlough Information 1Personal2Travel3Furlough4Contact5Deputation6Permission This form is used to request furlough. After submitting to your Administrative Committee chairman, he will approve your request. Please read instructions carefully throughout the form. My furlough request is . . .* Preliminary Plans Final Plans Personal InformationA field marked with a red asterisk is required.Name*Enter exactly as it appears on your passport. Select one . . .Rev.Prof.Mr.Mrs.MissMs.Dr. Prefix First Middle Last Suffix E-mail*A confirmation e-mail will be sent to the e-mail provided. Enter e-mail Confirm e-mail Furlough InformationMission field*Select country . . .Asia - Oceania TeamCaribbeanEurope TeamOne Latin America TeamOne Africa TeamStart date* MM slash DD slash YYYY End date* MM slash DD slash YYYY Comments Travel InformationHave you scheduled your flights yet?* Yes No Arrival DetailAirport* Name City State/Province/Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Airline*Flight number*Arrival date* MM slash DD slash YYYY Arrival time* : Hours Minutes AM PM AM/PM Departure DetailAirport* Name City State/Province/Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Airline*Flight number*Departure date* MM slash DD slash YYYY Departure time* : Hours Minutes AM PM AM/PM Car RentalWill you be renting a car?* Yes No View the Missions Vehicle Rental Policy and Insurance Information in the Furlough Information document library. Furlough Base of OperationEstablish this for policy purposes.Location* City State/Province/Region Advance Housing Reservation DetailsHousing required?* Yes No Housing start date MM slash DD slash YYYY Housing end date MM slash DD slash YYYY Enter number of family members*AdultsChildrenPlease enter a value between 0 and 10.Please enter a value between 0 and 10.Special equipment neededStateside ContactContact name* First Last Contact address* Address line 1 Address line 2 City Select one . . .AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip code Contact phone*Phone type* Send TEXT messages to this number. Send via Whats App to this number. Voice call this number. ONLY voice call this number. Cell plan includes international coverage. Away from Home Base This field is hidden when viewing the formWhere can you be reached?*If NOT staying at your home base or in one of the furlough residences, where can you be reached?NameAddressPhoneFrom dateTo dateAvailable for speaking event (Yes or No) Where can you be reached?*If NOT staying at your home base or in one of the furlough residences, where can you be reached? Select (+) to add a new row.City, StatePhoneFrom dateTo dateAvailable for speaking event (Yes or No) E-mail address during furlough Enter e-mail Confirm e-mail Deputation InformationAs a reminder, all missionaries home on furlough are required to complete a minimum of four speaking events OR participate in formal course(s) of study.For my deputation, I will plan to Complete formal course(s) of study Complete four speaking events For my deputation, I plan to Complete formal course(s) of study Complete four speaking events Course title*Course locationCourse end date* MM slash DD slash YYYY Would you be willing to complete speaking events in addition to your studies?* Yes No If yes, how many?*Additional speaking events*Would you be willing to complete speaking events in addition to the required four? Yes No If yes, how many additional events?*Deputation SchedulePlease encourage all speaking event contacts to fill out the Speaker Request Form, indicating that they have scheduled the event with you directly. This assists Missions Promotions in providing promotional materials and important planning information before the event. I have planned my own speaking events* Yes No Would you like Missions Office assistance in planning speaking events? Yes No Include all deputations. Select (+) to add a new row.*DateCongregation nameCityState If you are not completing a formal course of study as part of your deputation and the above total is less than four, Missions Promotions will assist you in planning additional speaking events. Comments/questions/concerns A complete list of AC/DMB members and e-mails can be found at Missions SharepointAdministrative Committee chairman e-mail* Enter e-mail Confirm e-mail Administrative Committee secretary e-mail* Enter e-mail Confirm e-mail Data Privacy & Permission* I AGREE with the terms of the WELS Privacy Policy.NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU: By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.Are you ready to save and submit your furlough request for approval?*Your furlough request will be sent to your Administrative Committee Chairman's e-mail you entered above. After their approval, the WELS Missions office will be notified of your furlough request. Yes, submit my request for approval. NEXT STEP:Please select the [Save & Submit to AC Chairman] link below to complete your process.Do NOT press the black buttons.OFFICE USE ONLY*Approval ProcessFurlough request is* Approved Rejected NOTE: After completing the approval process, select the SUBMIT button to send to the Missions office.CommentsInclude additional comments. Δ WELS Missions: [email protected]. | Privacy policyRef: Missions Furlough Information