Missions Furlough Information

1Personal

2Travel

3Furlough

4Contact

5Deputation

6Permission

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.
Personal Information
A field marked with a red asterisk is required.
Name*
Enter exactly as it appears on your passport.
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 Information
My furlough request is . . .*
- Original
- Revision
Mission field*
Exact start date*
MM slash DD slash YYYY
Exact end date*
MM slash DD slash YYYY
Comments

Save & Submit to AC Chairman

Travel Information
Have you scheduled your flights yet?*
- Yes
- No
Arrival Detail
Airport*
Name City State/Province/Region Country
Airline*
Flight number*
Arrival date*
MM slash DD slash YYYY
Arrival time*

: Hours

Minutes

AM/PM
Departure Detail
Airport*
Name City State/Province/Region Country
Airline*
Flight number*
Departure date*
MM slash DD slash YYYY
Departure time*

: Hours

Minutes

AM/PM
Car Rental
Will you be renting a car?*
- Yes
- No
View the Missions Vehicle Rental Policy and Insurance Information in the Furlough Information document library.

Save & Submit to AC Chairman

Furlough Base of Operation
Establish this for policy purposes.
Location*
City State/Province/Region
Advance Housing Reservation Details
Housing required?*
- Yes
- No
Housing start date
MM slash DD slash YYYY
Housing end date
MM slash DD slash YYYY
Enter number of family members*
Adults Children
Please enter a value between 0 and 10.
Please enter a value between 0 and 10.
Special equipment needed
Stateside Contact
Contact name*
First Last
Contact address*
Address line 1 Address line 2 City 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.

Adults	Children
Please enter a value between 0 and 10.	Please enter a value between 0 and 10.

Save & Submit to AC Chairman

A complete list of AC/DMB members and e-mails can be found at Missions Sharepoint
Administrative 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 Process
Furlough request is*
- Approved
- Rejected
NOTE: After completing the approval process, select the SUBMIT button to send to the Missions office.
Comments
Include additional comments.

Save & Submit to AC Chairman

WELS Missions: [email protected]. | Privacy policy
Ref: Missions Furlough Information

City, State	Phone	From date	To date	Available for speaking event (Yes or No)

Date	Congregation name	City	State

NEXT STEP:Please select the [Save & Submit to AC Chairman] link below to complete your process.

Do NOT press the black buttons.

NEXT STEP:
Please select the
[Save & Submit to AC Chairman]
link below to complete your process.