Candidate Form

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So we can best serve your needs, please fill this application out completely. If you have any questions about the application, contact your sponsor or the Pre-Cursillo Chair, Kerri Baunach. We want you to feel comfortable in your basic understanding of Cursillo prior to making the weekend so do not hesitate to ask questions. We will begin processing your application once we receive a $50 deposit, which will be credited toward your total cost. Make your check or money order out to Catholic Diocese of Lexington Cursillo. Send your deposit to Kerri Baunach, 313 Masterson Station Drive, Lexington, Kentucky 40511.

Name
Date of Birth
Street Address
City
State
Zip
Home Phone
Cell Phone
E-mail
Occupation
Parish
Pastor
Sponsor's Name
Are you a convert?
Baptismal Date
Confirmation Date
Are you married?
Date Married
Spouse's Name
Is your spouse Catholic?
Is your spouse a convert to Catholicism?
Has your spouse made a Cursillo weekend?
If yes, when & where?
If no, is your spouse interested in making a Cursillo?
List church, business, or civic organizations to which you belong
List religious movements to which you belong
Do you have special physical, medical, or dietary needs?
If yes, specify:
Do you smoke?
Does smoke bother you?
Do you understand the purpose of this weekend is to prepare you to better evangelize the environments (e.g. family, work, parish) of which you are a part using the support tools of Group Reunion, and Ultreya?
Are you open to joining a small group and participating in the Ultreya in your area with your sponsor’s help?
Which type of room do you prefer?



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