 | Inland Northwest Episcopal Cursillo |
Application to serve on a Cursillo weekend team Please print clearly.
Name: _____________________________________________ Nickname:______________
Address _______________________________________ City ________________ State _______ ZIP _______
Phone (day) _______________ (eve) __________________ E-Mail: __________________________________
__ Male __ Female __ Single __ Married Age (must be at least 21) ___
Church you attend: ________________________
Date & location of your Cursillo or similar 3-Day Weekend:
Positions that you would be willing to consider:(check all that apply):
Lay rector ____ Asst. lay rector ______ Clergy team ____ Speaker (rollista) ____ Table leader ____
Palanca team ____ Kitchen team _____ Sunday Angels coordinator _____
Music leader ____ Musician (& instrument(s) you play):
Describe your previous experience on Cursillo teams (how many, how long ago, what role(s) you had, etc.:
Are you actively involved in Group Reunion? _______ If so, how often? ______________
Are you attending Ultreyas? ________
Emergency contact: Name __________________________________ City ___________________________
Phone(s) _____________________________________ Relationship to you ___________________________
Describe any special needs you have (dietary, physical, etc.):
_______________________________________________________________________
_______________________________________________________________________
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.
DO NOT send money with your application. If you are chosen for a team, you will have to pay your $70 fee before the weekend begins. Fees may be paid in installments if necessary.
