Candidate Application

CURSILLO CANDIDATE APPLICATION

SECTION l PLEASE ANSWER ALL QUESTIONS (PLEASE PRINT)

     CANDIDATES NAME:
     TELEPHONE NO:
     DATE:

     ADDRESS:
     CITY:
     STATE & ZIP:
     PARISH:

     AGE:
     MARRIED:
     WIDOWED:
     DIVORCED:
     SINGLE:
     NO. OF CHILDREN:
     OCCUPATION:

     RELIGION:
     HAS YOUR SPOUSE EVER MADE A CURSILLO?
     WHEN:                WHERE:

     LIST INVOLVEMENT IN ANY APOSTOLIC OR RELIGIOUS ORGANIZATIONS AND POSITIONS HELD:

     E-MAIL ADDRESS:
     NICKNAME (IF APPLICABLE):

     DO YOU REQUIRE A SPECIAL DIET?
     IF YES, PLEASE DESCRIBE:

     ANY LIMITING MEDICAL CONDITIONS?
     IF YES, PLEASE DESCRIBE:

     WHY DO YOU WANT TO MAKE A CURSILLO?

     I UNDERSTAND THIS IS ONLY AN APPLICATION FOR CURSILLO, AND IF ACCEPTED, I WILL BE
     SENT A CONFIRMATION LETTER AT A LATER DATE.

     CANDIDATES SIGNATURE:____________________________________________

_______________________________________________________________________________
_______________________________________________________________________________

SECTION ll. FOR SPONSOR'S USE

    SPONSORED BY:
    TELEPHONE NO:
    DATE:
    ADDRESS:
    CITY:
    STATE and ZIP:
    PARISH:

     WHY DO YOU RECOMMEND THIS CANDIDATE?

     ARE YOU NOW A MEMBER OF A GROUP REUNION?    ______YES   _______NO
     ULTREYA? ______YES   _______NO

      ARE YOU COMMITTED TO HELPING THE CANDIDATE FOLLOWING THE WEEKEND?
       ______YES   _______NO

      DATE MADE CURSILLO?

      SPONSOR'S SIGNATURE: ____________________________________________

_______________________________________________________________________________
_______________________________________________________________________________

SECTION lll. FOR PASTOR/PRIEST'S USE

     ARE YOU AWARE OF ANY REASON WHY THIS CANDIDATE SHOULD NOT ATTEND CURSILLO?
     IF SO, PLEASE CONTACT THE CURSILLO SPIRITUAL ADVISOR - Fr. Philip Sladicka, St. Patrick
     Church …489-0752

     HAVE YOU MADE A CURSILLO? ______YES   _______NO                    DATE:

     IF YES, WOULD YOU BE INTERESTED IN SERVING ON TEAM? ______YES   _______NO

     I APPROVE THE PRECEDING APPLICATION AND RECOMMENDATION. ______YES   _______NO

     PRIEST'S SIGNATURE: ______________________________________    DATE:______________

     PLEASE SUBMIT TO THE PRE-CURSILLO CHAIRPERSON:

Joe Alinoski
9B Rachel Drive
Archbald, PA   18403-1600

Phone:    (570) 876-4087

E-MAIL:   jalinoski@alumni.HolyCross.edu

Please mail $25 deposit (payable to Scranton Cursillo) to:
Joe Alinoski at address above