Staff Application for Alabama Presbyterian Cursillo #25
Moderator: Mitch Tousinau
Sept 22-26, 2010 Training dates: August 27-28

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 dorm/ $330.00 Cummings or Chason

Return to:
Mitch Tousinau, Moderator
Alabama Presbyterian Cursillo
1900 Sugar Wood Ct
Mobile, AL 36609
mtousinau@kmbs.konicaminolta.us
or email him