Candidate Application

Please complete the Candidate Application form below.
After completing and submitting this form, please ask the Applicant’s pastor to complete and submit this short form.

IMPORTANT UPDATE

Men’s Gold Coast Via de Cristo Weekend 104 is at capacity, so we are only accepting applications for Men’s 105 which is scheduled for the fall. Women’s weekends are still open.

CANDIDATE INFORMATION

Please complete this information for the potential Candidate

Candidate First Name *

Candidate Last Name *

Gender *

Date of Birth *

Format: xx/xx/xxxx

Nickname *

By what name do you prefer to be called? Please type in your first name if you do not have a nickname.

Candidate Weekend *

What Via de Cristo Weekend is the Candidate applying to attend? NOTE: Men's #105 is full and no longer taking applications.

Occupation *

Candidate Mobile Phone

Candidate Work Phone

Candidate Home Phone

Candidate Address *

Address Line 1

Address Line 2

City

State

Zip Code

Candidate Email *

Marital Status *

Number of Children *

Use the arrow button to the write to select a value

Present Church *

What is the full, official name of the church you attend?

Location of Church *

What city is your church in?

Pastor's Name *

What s the first and last name of your pastor?

Pastor's email address

If you provide your pastor's email address, we will copy him/her requesting his/her approval and signature. Additionally, please let your pastor know that his/her recommendation is a prerequisite for your participation in a Via de Cristo Weekend.

Have you been baptized *

Offices Held

Briefly list the offices or positions you have held in church or civic organizations. If none, please write "None"

Do you have any dietary restrictions? *

Do you have any special medical or physical dietary considerations?

Emergency Contact Name *

First

Last

Emergency Contact Mobile Phone *

Emergency Contact Home or Work Phone

I am aware that my pastor must sign the Acknowledgment Form *

SPONSOR INFORMATION

To be completed by the Sponsor

Sponsor First Name *

Sponsor Last Name *

Your Weekend *

I am currently in a Reunion Group *

Sponsor's Email *

Confirm Email

Sponsor's Mobile Phone

Sponsor's Work Phone

Sponsor's Home Phone

Sponsor's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Sponsor's Present Church

Denomination

Number of years you have known the candidate *

Numeric values only. Minimum of one year to sponsor a candidate.

Why you recommend this Candidate

Briefly explain why your candidate will benefit from and contribute to the VDC Movement.

Payment

As the Sponsor, I will pay for the Weekend
I will explain to the Candidate about the cost of the Weekend
Someone else is paying for this Candidate

With God's help, I hereby commit to Sponsoring this Candidate *

Be prepared to (1) Personally escort your Candidate to Sendoff. (2) Be present during the Weekend for Chapel Palanca. (3) Personally escort the Candidate's wife to the Wive's meeting on Friday night. (4) Place the Candidate in a Reunion Group. (5) Followup on your Candidate's progress for at least one year. (6) Actively participate in your Candidate's Weekend.

Date *

Comment

Pastor’s Signature Required

Please click the button below to be taken to the Pastors’ Signature Form.

{Copy and paste the Form Link and email to Pastor}

PASTORS