Sponsor: Please read and complete the following:

Except for the name and address, all information provided will be kept in strictest confidence. This form must be completed and submitted before the candidate can be accepted for Tres Dias.

Your candidate is going to:
Men's Weekend
Women's Weekend

Candidates Name: (Last, First, Middle Initial)

How well do you know the candidate?

Are they actively seeking a closer walk with the Lord?
Select One Yes No

How would you describe the candidate? (leader, follower, quiet, outgoing, etc.)

To the best of your knowledge, does the candidate have any physical, spiritual or emotional problems? Please specify.

Please describe the environment (situations) of the candidate (Church, Home & Work):

Any other information that might be helpful to better support your candidate on the weekend?:

Name of Church you attend regularly:

Are you active in Fourth Day Activities?
Select One Yes No

Are you active in Reunion Group?
Select One Yes No

Are you active in your local church?
Select One Yes No

If yes and/or other activities please describe:

Are you prepared for your sponsorship responsibilities as outlined above in 'Weekend Support' and 'Fourth Day Support'?
Select One Yes No

Sponsors Name (Your name):

Mailing Address:

City: State: Zip:

E-mail Address:


Phone Numbers:
Home:
Cell:

Name of weekend you attended- Cursillo, Tres Dias etc.:

Year of your weekend:

I agree In Prayer and before the Lord, to fulfill my responsibilities as sponsor to my candidate.

Date: (MM/DD/YYYY)