Please Use black ink and print or type all information. Revised: 8/98

Maryland Episcopal Cursillo

Application for Team Membership

Date: _______________________

Name: _________________________________________ Telephone: (H) ______________ (O) ______________
Address: _____________________________________________________________________________________
Name to be used on Button: ___________________________________ Date of Birth: _______________________
Occupation: _______________________ Marital Status: ___________ Spouse’s Name: ______________________
Date/Location of Your Cursillo: __________________________________________________________________
Parish Name/Involvement (Roles/Activities): _______________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
List Previous Team Service (Where, When, Assignments, Talks): ________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Describe Fourth Day Involvement (Las Maņanitas, Clausura, Palanca, etc.): ________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
List Special Talents, Desires or Thoughts, if any: _____________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Identify Dietary, Physical or Medical Restrictions/Concerns: ____________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
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Involvement/participation (as indicated) in the following will influence your being selected for a team.

Date/Location of Fourth Day Workshop (Attended/Team): _____________________________________________
(Attendance at workshop is mandatory and a pre-requisite for team membership.)
Ultreya regularly attended: ___________________________________________________________________
Permanent Group Reunion Member: (Y) ___ (No) ___ Names of Other Members: __________________________
____________________________________________________________________________________________
(Grouping is mandatory during team preparation and strongly encouraged at all other times.)

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IMPORTANT! PLEASE READ PRIOR TO SIGNING THIS APPLICATION.

After prayerful consideration, I would like to be a member of a team for Maryland Episcopal Cursillo.

I understand that being a team member requires a commitment to attend ALL of the team preparation meetings (approximately 8 meetings), held weekly, at a time and place selected by the Rector of the weekend. I also understand that I will be requested to make a financial offering to cover my expenses and make other contributions of time, treasure and talent in support of the weekend.

I further agree to read and comply with the guidelines for CURSILLO Weekends as set forth in the materials provided by the Rector of the Weekend.

Signed: ____________________________________________

Husbands and wives must submit separate applications!
Application is to be submitted to the current Secretariat Week-End Representative!
This application is valid until the applicant is selected to serve on a team!

CursilloTeamApplication.Doc (8/96)

CURSILLO TEAM APPLICATIONS

Send Cursillo Team applications to the Weekend Representative (click the link to get contact information).

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