Application for Cursillo Candidate - Lexington Diocese
 
So we can best serve your needs, please fill this application out completely before returning to your sponsor.  Contact your  sponsor if you have any questions about the application OR Cursillo in general.  We want you to feel comfortable in your basic understanding of Cursillo prior to making the weekend so don't hesitate to ask questions of your sponsor.
 
Name:_____________________________________________________       Date of Birth____/____/____
 
Address:______________________________________ City:____________________ Zip:___________
 
Day telephone______________________________________ Night Telephone_____________________
  
Occupation___________________________ Parish_________________Pastor_____________________
 
 
Are you a convert? ( ) Yes ( ) No If yes, Baptismal Date ______________
 
Church, business, or civic organizations to which you belong: ___________________________________
 
____________________________________________________________________________________
Religious movements to which you belong: _________________________________________________
 
____________________________________________________________________________________
 
Do you have any special physical, medical, or dietary needs? ( ) Yes ( ) No If yes, explain: _____________
 
____________________________________________________________________________________
 
Do you smoke? ( ) Yes ( ) No ........Does smoke bother you? ( ) Yes ( ) No
Spouses Name:______________________________________________________________________
Is spouse Catholic? ( ) Yes ( ) No .............Convert? ( ) Yes ( ) No
Has spouse made a Cursillo weekend? ( ) Yes ( ) No    If Yes when? Month:___ Year: _____
Is your Spouse interested in making a Cursillo weekend? ( ) Yes ( ) No
 
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? ( ) Yes ( ) No
 
Are you open to joining a small group and participating in the Ultreya in your area ( your sponsor will help you get started) ? ( ) Yes ( ) No
 
Why do you want to make the Cursillo Weekend? _____________________________________________
 
_____________________________________________________________________________________
 
Signature of Applicant: ________________________________             Date____________
 
Sponsored By: _______________________________