 | Inland Northwest Episcopal Cursillo |
(To avoid printing the sidebar and links, copy and paste this form into your word processor and then print.)
Thank you for your interest in Cursillo. As your weekend approaches, you will receive more information. Your sponsor will be happy to answer any questions you have.
Application to attend a Cursillo weekend please print clearly
Candidate's Name: _____________________________________________ Nickname:______________Address ______________________________________________ City ________________ State _______ ZIP ________
Phone (home) ___________________ (cell) ______________________ Email: __________________________________
__Male __ Female __ Single __ Married ___ Widowed ___ Divorced Year of birth: ______
Church you attend: _________________________ City ______________ Denomination _____________
What dietary or other physical needs do you have that need to be provided for on a weekend?: ____________________________________________________________
Emergency contact: Name & relation to you ______________________________________________
Phone(s) __________________
By committing to the 3 Day Weekend, I understand that I am also committing to attending "The 4th Day, A Day Of Deeper Understanding," held on a Saturday, a few weeks after the 3 Day Weekend.
Candidate's Signature __________________________________________________ Date ________________
Pastoral Support Is this person a regularly active participant in services, activities, and/or organizations withing the church? _____
I support the sponsorship of this member of my parish to Cursillo. I believe he/she is emotionally stable and is a potential leader in the Church Community.
Priest or Pastor Name (print): ______________________________________ Church:___________________ Phone: ________________
Signature: _________________________________ Date: ______________
Sponsor Support A sponsor should be actively participating in a Group Reunion and know that the purpose of Cursillo is to help those in the Church understand their individual callings to be Christan leaders and to encourage them to bring others to Christ.
Please make sure that all questions below are answered.
Sponsor's Name: ______________________________________ Home Parish: ________________
Address: _____________________________ City: ______________ State: _____ ZIP ________
Phone (home) ______________ (cell) __________________ Email: ________________________
Are you grouping? _____ If not, why not? __________________________________________
Why did you select this candidate? _____________________________________________
How long have you known this candidate? _______________
I will bring my candidate to the Cursillo, support him/her through prayer, and be present at the Mananitas and the closing. I will take my candidate to the Day of Deeper Understanding, Group Reunion and Ultreyas following the weekend.
Sponsor's Signature: ___________________________ Date:______________
Please mail completed form with $75 to: Inland Northwest Episcopal Cursillo, c/o John Lloyd, Pre-Cursillo Coordinator, 4209 E. Prairie Lane Court., Spokane, WA 99223.
[Fee may be paid in installments if necessary. Please indicate if this is the manner of payment: Installment Amount $______________ Frequency _______________]
