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‘Saints of Ireland-Back to the Well’ Pilgrimage

29 September to 18 October 2018

APPLICATION FORM

APPLICANT’S DETAILS

Name: (as appears on passport)

PHRIS No.

Passport No:

Please attach a colour copy of your passport to this application

School:

Position:

Region:

Home Address:

Home Parish:Parish Priest Name:Parish Priest Signature:

Email:

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Contact numbers: School Home Mobile

Please respond briefly to the following questions:What is your motivation in applying for this pilgrimage?

How have you demonstrated a strong commitment to excellence in teaching and learning generally and in Religious Education (if applicable)?

How have you demonstrated an interest in ongoing professional and personal formation?

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How would you share new insights and learnings gained from this pilgrimage experience?

Have you previously participated in an immersion and/or pilgrimage with SCS or any other organisation? If so, please provide the details (organisation/destination/year) below:

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Has the spiritual charism of your school been founded on one of the ‘Saints of Ireland’? If so, which one.

How could you utilise the pilgrimage experience to enhance the charism of your school?

Please outline any pre-existing medical conditions you may have or any medications you currently take.

If selected, I undertake to participate in the scheduled Preparation Sessions and the Lived Response Event. I undertake to make a $2000

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contribution to the overall cost of this pilgrimage.

Signature of Applicant:

Date:

Please submit this application form as well as the Principal Endorsement form to CHRISTOPHER NEAVES (email) by Thursday 31 May 2018.

Email: christopher.neaves@syd.catholic.edu.au

‘Saints of Ireland-Back to the Well’ Pilgrimage

29 September to 18 October 2018

PRINCIPAL ENDORSEMENT FORM

DECLARATION:

I endorse the application of

as a participant in the

‘Saints of Ireland-Back to the Well’ Pilgrimage

29 September to 18 October 2018

Name: Date:

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Signature:

School:

Additional comments to support your endorsement of the applicant:

Schools are required to cover release funding from Monday 15 October to Friday 19 October 2018.

In considering this endorsement, you might consider how the applicant: Articulates unambiguously the mission and vision of Catholic education and communicates a strong sense of Catholic identity and mission

Demonstrates a strong commitment to excellence in teaching and learning generally and in Religious Education

Participates in the life, mission and work of the Catholic faith community Demonstrates an interest in professional and personal formation and a capacity

for religious leadership Has the personal skills to deal with unfamiliar places and experiences Displays the capacity to share insights with others.

HAVE YOU ATTACHED A COLOUR COPY OF YOUR PASSPORT TO THIS APPLICATION?