SIWE Sponsor Form CompanyThis field is for validation purposes and should be left unchanged.Are you sponsoring someone for a(Required) Men’s Walk Women’s Walk Sojurn BIC Section BreakHow Would You Like To Pay?(Required) Send in Check or Money Order Pay Online Now Candidate Will Pay Remember your pilgrim is not fully registered until we receive this application, their application, and deposit.Section BreakIf you are applying for Sojurn or BIC please download this form and follow the directions on the form. Sojurn and BIC ApplicationSection BreakIf you are applying for a Men’s or Women’s Walk to Emmaus and not paying online please download this form and follow the directions on the form. Walk to Emmaus ApplicationSection Break1st Walk Date Preference(Required)2nd Walk Date PreferenceReminder: Your pilgrim is not fully registered until we receive this application, their application, and deposit. It is the sponsor’s responsibility to ensure their pilgrim has completed their application.Candidate's Name(Required) First Last Candidate's Email(Required)Please confirm this is correct this is how the pilgrim will receive their application Sponsor's Name(Required) First Last Sponsors as listed on the websiteSponsor's Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home/Cell Phone(Required)Work PhoneEmail(Required) Church you regularly attend(Required)Where and when did you make your Weekend?(Required)Are you presently involved in a weekly grouping?(Required) Yes No Are you praying and sacrificing for your pilgrim?(Required) Yes No How long have you known the candidate?(Required)Explain why you feel that this person would be a good candidate.(Required)Do you feel the candidate is capable to make the weekend?(Required) Yes No Are you able to assist the candidate to get into a weekly reunion group?(Required) Yes No Will you participate in the Weekend?(Required) Yes No If the candidate is married, have you or will you discuss the Walk to Emmaus with the spouse?(Required) Yes No N/A Will you see to or care for the needs of the spouse and the family of the candidate over the weekend?(Required) Yes No Have you explained the post-weekend meetings?(Required) Yes No Have you read the Fourth Day handbook on sponsoring?(Required) Yes No Date(Required) MM slash DD slash YYYY Online Payment OptionsPaying online includes fees to cover the processing charges. $51.52 – deposit $128.04 – pay in full Deposit(Required) Price: Pay In Full(Required) Price: Payment Method(Required)PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHA
