Redemptorist International Pastoral Centre England
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Three Month Course
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application form
Title:
Surname:
First Name:
Congregation/Order:
Abbreviation of Order:
First name you wish to be known by:
Address:
Telephone number:
Date of Birth:
email address:
Country of work:
Present work:
1st choice date of course
** please select a course date **
19 April - 15 July 2010
6 September - 2 December 2010
6 January - 17 March 2011
2 May - 28 July 2011
5 September - 1 December 2011
2nd choice date of course
** please select a course date **
19 April - 15 July 2010
6 September - 2 December 2010
6 January - 17 March 2011
2 May - 28 July 2011
5 September - 1 December 2011
Would you please say why you are applying for the course, and what you hope to gain from it:
Yes, I will send a £500 Sterling deposit and a recent photo of myself to confirm this application. (Please note Hawkstone Hall does not accept credit or debit cards)
Please tick
Only for those wishing to join the
Holy Land Pilgrimage
Yes, I want to go to on the Holy Land Pilgrimage.
Please tick
Full name (as on passport):
Expiry date of passport:
Nationality (as on passport):
Yes, I will send an additional £150 sterling deposit by post.
Please tick
Any special requirements, eg diet:
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