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Cursillo Candidate Application

For Printable

PDF Application

Click Here.

Apply here and submit (online).

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CANDIDATE APPLICATION

All required fields are marked with *

Location:

Our Lady Queen of Peace Event and Retreat Center, Stanton, Tennessee

Length:

Thursday night through Sunday evening

Transportation:

Your sponsor will provide transportation to and from your weekend.

Attendance:

The full weekend is expected.

WEEKEND SELECTION

Weekend:*

Men's

Women's

Season:*

Fall

Winter

If I am unable to attend, I would like my application automatically carried forward to the next Cursillo weekend:*

Yes

I need a sponsor:*

Yes

My sponsor is:*

If you need a sponsor, please enter 'N/A'

PERSONAL INFORMATION

First name*

Last name*

Nickname:

Parish:*

Phone*

Address*

City:*

State:*

Zip:*

Age:*

Occupation:*

Email*

Employer*

Phone (alternate)

MARITAL STATUS

Marital status:*

Single

Married

Separated

Divorced

Widowed

FAITH & BACKGROUND

Why would you like to make a Cursillo?*

Do you suffer from any physical limitations which would require special attention or diet? (Health, Diet, Disabilities, Allergies, limited mobility, etc.)*

Yes

If yes, please explain

Activities you are currently involved in*

(Church, Civic, Professional, Hobbies, etc.)

Check all that apply:

I am a lector

I am a Eucharist Minister

I am a Musician

If you are a musician, what instrument?

Do you have any questions about the weekend that your sponsor has not been able to answer?

Has the Recommended Follow-Up Program of Group Reunion & Ultreya been explained to you?*

Yes

EMERGENCY CONTACTS

Day emergency contact name*

Day emergency contact phone*

Night emergency contact name*

Night emergency contact phone*

Cursillo Weekend Fee—$300.00

Due with your application by the Monday before the weekend. A lack of funds should not discourage anyone—scholarships are available, and all requests are kept confidential.

Payment Options

After you submit this application, please pay using one of these options:

Pay online at:

memphiscursillo.com/payforyourweekend

Mail a Check to:

West TN Catholic Diocese

Attn: Cursillo—Steve Fracchia

5825 Shelby Oaks Drive

Memphis, TN 38134

*Please make checks payable to "Memphis Cursillo."

Questions? Contact Kathleen Goldberg at precursillo@memphiscursillo.com

DECLARATION & SIGNATURE

I understand that the purpose of the Cursillo Movement is to promote the creation of core groups of Catholics who are committed to changing their environments with the message of the Gospel; that the weekend is a “short course” in Christianity and that my commitment to Group Reunion and Ultreya can assist me in bringing Christ to the world in which I live, work and play. I have read the above statements and answered all questions as honestly and completely as possible. I have prayed about the Cursillo and my application, and I wish to attend.

Signature*

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Date*