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Make a Cursillo

- Submit the electronic form below or the fill & the print PDF version
  
  You can fill out the electronic form below and submit or fill out this .PDF version and email or mail it into the office. This is a form that can be filled out electronically and printed, saved or emailed.
  PDF Cursillo Candidate Application
- Candidate Application to Make a Cursillo
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Basic Info (Tell us about you)
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Nickname Please enter valid data.
  
  Address REQUIRED Please fill out this field.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Home/Main Phone Number REQUIRED Maximum 20 characters
  Enter your home or main phone number.
  Please fill out this field. Please enter a phone number.
  
  Mobile Phone Number Maximum 20 characters
  Enter your mobile phone number.
  Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Gender REQUIRED
  Tell us birth gender so we know which Cursillo weekend to place you in.
  Male Female Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Education REQUIRED
  Share with us the level of education you have achieved to date.
  Please fill out this field.
  
  Occupation REQUIRED
  Help us understand the type of work you do.
  Please fill out this field. Please enter valid data.
  
  Number of Children (if any) REQUIRED Please fill out this field. Please enter an integer (number).
  
  Spouse/Partner Information (if applicable)
  
  Marital Status REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Has your spouse/partner made Cursillo? REQUIRED Please fill out this field.
  
  If yes, Cursillo Made (e.g. Women's 256, August 2019)
  Enter the Cursillo Number Month and Year of the Cursillo made
  Please enter valid data.
  
  Religious Denomination of Spouse
  Tell us about your spouses religion.
  Please enter valid data.
  
  If converted, date of conversion
  If you converted to Catholicism, tell us when you converted.
  Please enter valid data.
  
  Additional Information to Improve Your Experience
  
  Religious Denomination REQUIRED
  Please share your denomination so we can make Cursillo better for you.
  Please fill out this field. Please enter valid data.
  
  If Convert, Date of Conversion
  If you converted, please tell us when you converted.
  Please enter a date.
  
  Parish REQUIRED
  If you are a member or attend a Parish regularly, please share which one.
  Please fill out this field. Please enter valid data.
  
  Parish City REQUIRED
  Share where your Parish is located or if not a member which city you typically attend.
  Please fill out this field. Please enter valid data.
  
  Parish Participation
  In what way do you participate in parish, diocesan or community activities? (be specific)
  
  Languages Spoken & Fluency Level
  
  English?
  Tell us how fluent you are in English
  
  Spanish
  Tell us how fluent you are speaking Spanish
  
  Other
  Tell us if you are fluent in any other languages
  
  If other, provide details
  Tell us what other languages you speak
  Please enter valid data.
  
  Do you play a musical instrument? REQUIRED Yes No Please fill out this field.
  
  If Yes, which one? Please enter valid data.
  
  Special Needs
  
  Although Cursillo is primarily a religious experience, it is also physically and emotionally very demanding. Please let us know if you have any special needs below.
  
  Are you on any medication for a mental health condition or undergoing intensive counseling? REQUIRED
  It is important to us to make sure you have the attention you need.
  Yes No Please fill out this field.
  
  Do you have any medical concerns such as diabetes, pregnancy, disability, arthritis, or special dietary needs? REQUIRED
  It is important to us to make sure you have the attention you need.
  Yes No Please fill out this field.
  
  Cots are provided for all candidates. Do you need a special bed and mattress? REQUIRED
  It is important to us to make sure you have the attention you need.
  Yes No Please fill out this field.
  
  Please Give Details on Your Special Needs here.
  
  Do you require a special diet? REQUIRED Yes No Please fill out this field.
  
  Explain Please enter valid data.
  
  Has the Cursillo Movement been explained to your satisfaction? REQUIRED Yes No Please fill out this field.
  
  Signature REQUIRED
  Enter your name as indication of electronic signature
  Please fill out this field. Please enter valid data.
  
  Who is sponsoring you?
  
  A "sponsor" is a person who has previously made Cursillo that will support you as you make your Cursillo. Our motto is "Make a Friend, Be a Friend, Bring a Friend to Christ"; thus your sponsor, most often, is a friend. However, if you don't have a sponsor enter the following information and the office will work with you to find a sponsor.
  John Doe
  1 Cursillo Way
  Erie, PA 11111
  [email protected]
  555-555-5555
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED
  Enter the sponsor's street address
  Please fill out this field.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home/Main Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Mobile Phone Maximum 20 characters
  Sponsor's mobile phone number
  Please enter a phone number.
  
  Parish Please enter valid data.
  
  Sponsor Signature REQUIRED
  Sponsor's name as electronic signature
  Please fill out this field. Please enter valid data.
  
  Sponsor: Review for completeness, then forward completed applications to:
  Diocese of Erie Cursillo Movement
  429 East Grandview Blvd.
  Erie, PA 16514-0397
  [email protected]
  
  Submit
  
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Erie Diocesan Cursillo Movement

Bringing People to Christ

Make a Cursillo

Submit the electronic form below or the fill & the print PDF version

Candidate Application to Make a Cursillo