New Jersey Episcopal Cursillo^®
Diocese of New Jersey
APPLICATION FOR CURSILLO (rev. 1/30/09)

The Cursillo weekend is held at Murray Grove Retreat Center  Lanoka Harbor, NJ 08734-0246. The three-day weekend begins at 6:30PM on Thursday and ends by 6:00PM on Sunday. The cost is $180.00 per person. A deposit of $75.00 is required with the application. The balance is paid before arrival at the Cursillo weekend. If the candidate withdraws before 3 weeks in advance of the Cursillo dates then the deposit may be applied to the next Cursillo weekend. The deposit is not refundable or reusable if the candidate withdraws later than three weeks prior to the current Cursillo dates. No applications will be considered until the applicant has spoken to the Rector or other clergy of his/her parish, and has the application signed by one of them. If that clergy has not participated in a Cursillo weekend, the application must be so-signed by one who has.

Please return this completed form with your deposit check of $75.00 to:
Bruce Cecchini, 3 Princeton Court, Berlin, NJ., 08009
Make checks payable to NJ Episcopal Cursillo.
For additional information please call
Joe Donnelly - Diocesan Lay Director (856) 985-6280, or
Brother John Baptist  - Diocesan Spiritual Director (609) 936-0149.
Or you may e-mail us at info@njepiscopalcursillo.org

CANDIDATE INFORMATION (Please Print)

Mr./Mrs./Ms.     __________________________________________________________________________________
                                (Last)                                                         (First)                                                               (Nickname)

Street Address: __________________________________________________________________________________

City/State/Zip:    __________________________________________________________________________________
        

_________________________________________________________________________________________________

I am an Episcopalian: ______Yes _____No Date of Birth: _____/_____/_____

Signature: ________________________________ Date: _______________________

Sponsor and clergy complete the reverse side.

SPONSOR INFORMATION (Please Print)

Mr./Mrs./Ms._____________________________________________________________
                         (Last)                                                                          (First)

Street Address: __________________________________________________________________________________

City/State/Zip:    __________________________________________________________________________________

Telephone: Home (____)____________________ Work (____)____________________

Cursillo attended: #________ Diocese of: __________________ Year _____________

Sponsor Statement: I understand and accept the commitment required to be a sponsor to the applicant whose name appears on the reverse side of this form Cursillo. (Also submit sponsor application)

CLERGY INFORMATION

Name: ____________________________________ Telephone: (____)_______________
(Last) (First)

Address: ________________________________________________________________
(Street) (City) (State) (Zip)

Clergy Statement: I am familiar with the Cursillo movement and approve the participation of this person on a Cursillo weekend. In my option, this applicant is physically and emotionally able to meet the strenuous weekend schedule.

Form revised 1/30/2009