Sponsored by the Reformed Church in America

CURSILLO APPLICATION SPONSORED BY THE REFORMED CHURCH IN AMERICA NOVEMBER 2-5, 2017 – PINE LAKES CAMP, ELDORA, IA

Name Phone _ Address City _ __ State Zip Code __ E-Mail Address _ Age Occupation Place of Employment Single Married Widow/Widower Divorced Number of children Spouse’s Name Education background and number of years completed: Grade School High School College Vocational Special Special Interests ______Church groups or secular groups in which you are active: ______

___ Any offices you have held in these groups: ______

__ State your reasons for wishing to attend a Cursillo weekend: ______

_____ How did you hear about Cursillo? ______Your church Address Your pastor’s name _ Are you a confessing member of the church? _____ Are there any special health, dietary, or sleeping needs that we should be aware of? ______

_ This is not a permanent record – it will be destroyed after the Cursillo weekend) Please return this application to your sponsor In the event that you are unable to attend the weekend, please let your sponsor know as soon as possible so other persons may have an opportunity to attend. NO SMOKING ALLOWED IN THE BUILDINGS Name of sponsor ______Address ___ __City/State/Zip ______Phone _____ E-Mail ______State your reason for sponsoring the candidate _____

If possible, please submit applications at least 2 weeks prior to the weekend. GUIDELINES FOR CANDIDATE SELECTION The following guidelines are currently being used by the Reformed Church in America secretariat and registrars for determining the selection of candidates and the order in which applications are accepted.

All applications which meet the following guidelines shall be accepted in the order in which they are received. Candidate applications from all denominations will be considered. Six candidates will be accepted from any one church for the weekend. If space is available, additional candidates from the same church will be considered.

We encourage you to apply as soon as possible as space is limited. Any additional applications will be placed on a waiting list if necessary and moved up as cancellations are received.

Only applications which are signed by a sponsor will be considered. If a sponsor is needed, contact your church representative ______Or Peg Den Hartog at 515-669-9606 or [email protected].

Candidates must be at least 18 years of age and/or be a high school graduate, and believe Jesus Christ is their personal Savior.

For married couples, it is encouraged but not required that both the husband and wife attend Cursillo. If they both choose to attend, it is most beneficial if they can attend the same weekend, and each of them should submit a completed application. If one of the partners has attended at an earlier date, it is strongly suggested that he/she be present either as a repeat candidate, palanca worker or team member at the weekend for encouragement and support of their spouse.

It is suggested that persons who have recently experienced a significant loss, such as loss of a spouse through death or divorce, not consider going to Cursillo until one year from the date of the loss.

Any candidate with special diet or medication requirements can attach an additional copy of these requirements with their application. Sponsors are asked to return this application to: Reverand Sue Klimstra 1097 Pole Line Road Waukon, IA 52172 563-568-2340 Revised: RCA Cursillo – 12/14/16