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| This is the staff application. Please print and return to the moderator at the address below. |
Staff Application for Alabama Presbyterian Cursillo
#25 Name:_______________________________ Prefer to be called: ________________ Address:_____________________________________________________________ City, State, Zip:________________________________________________________ Home Phone:_________________________Work Phone:______________________ Email/ Fax #:__________________________________________________________ Birthday (month/day):______________Male _____ Female _____ Home Church/ Pastor:___________________________________________________ Are you an elder?_______ Are you willing to pray aloud at staff meetings? ___________ Are you actively participating in a reunion group?________________________________ Cursillo you attended as a pilgrim:__________________________________________ Previous Cursillo service:_________________________________________________ ____________________________________________________________________ Prefer to serve as (position): 1._______________________________2.__________________________________ I have the following interests/talents I am willing to use (music, calligraphy, etc.):_________ ____________________________________________________________________ I am willing to give a talk:______ Food Allergies, Dietary Needs, Health Problems that require special attention: ___________________________________________________________________ Signature/Date:_______________________________cost:
$250.00 for Dorm/ $330.00 Cummings or Chason Return
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