top of page
Reconciler Menu
loading.gif
Interview Agreement Forms

These are the Interview Agreement Forms submitted via your profile (& thus owned by you as the reconciler). Click one of the rows in the table to open and view a specific information form. Click another row to view another form.

Submission Time
First Name
Last Name
Email
Signature
04/10/2025
Sherilyn
Allen
sherilynallen@yahoo.com
04/09/2025
Natalie
Eichenberger
natalieike@gmail.com
03/04/2025
fred
flintstone
fred@gmail.com
01/24/2025
Jennifer
Blanton
jcbj76@hotmail.com
01/05/2025
Test
User
test2@hisaor.org
12/09/2024
Melody
Johnson
mel.sjohnson@icloud.com
12/09/2024
Travis
Formoso
tformoso@codpa.net
10/04/2024
lisa
franklin
lisafranklin53.lf@gmail.com
09/06/2024
Daniel
Kenyon
dankenyonmusic@gmail.com
08/27/2024
Katie
Finch
katiefinch289@gmail.com
08/05/2024
DAVID
TURNER
DGTURNER67@YAHOO.COM
06/07/2024
Andrew
Strickland
astrickland@zionalex.org
06/05/2024
Titus
Utecht
titus.utecht@gmail.com
06/05/2024
Bill
Maroney
bmaroney@harvestnewbeginnings.com
06/05/2024
Bill
Maroney
bmaroney@harvestnewbeginnings.com
06/05/2024
Bill
Maroney
bmaroney@harvestnewbeginnings.com
05/01/2024
HOLLY
NICHOLSON
hollyknick@gmail.com
04/05/2024
Heather
Kreiser
heather.kreiser@gmail.com
02/29/2024
Michael
Sunseri
pastorsunny375@gmail.com
02/29/2024
Michael
Sunseri
pastorsunny375@gmail.com
02/13/2024
Adam
Finch
adam388@gmail.com
01/08/2024
Alexander
Knowles
zknowles.sc@gmail.com
11/30/2023
Dwight
Schettler
dwight@aorhope.org
10/24/2023
Christopher
Vazquez
vazquezce29@icloud.com
09/29/2023
John
Munch
jmunch50@gmail.com
09/28/2023
Beth
Kopadt
beth21082gl@gmail.com
09/07/2023
Daniel
Person
djperson74@gmail.com
08/15/2023
Erik
Ronnegard
eronnegard@svt.org
08/15/2023
Erik
Ronnegard
eronnegard@svt.org
06/13/2023
gail
ploetz
gailploetz@gmail.com
06/09/2023
Chris
Clarke
sendmenojunkmailok@yahoo.com
05/16/2023
Isis
Palacios
ipalacioscartin@dorchester2.k12.sc.us
04/20/2023
Haniel
Gray
grayhl@icloud.com
04/14/2023
Alexandria
Shick
dcsalex@rlom.org
02/19/2023
Brielle
Brenner
brielleesposito@gmail.com
08/31/2022
Norma
Walker
info@ganonglaw.com
08/28/2022
Sean
Benson
digshakespeare@gmail.com
08/26/2022
Karen
Morgan
kmorgan@northwoodacademy.com
08/08/2022
Chad
Bailey
chad@ccbaileyco.com
05/29/2022
Wilma
Flintstone
wilma@yahoo.com
05/29/2022
B
R
br@gmail.com
Personal Information Forms

These are the Personal Information Forms submitted via your profile (& thus owned by you as the reconciler). Click one of the rows in the table to open and view a specific information form. Click another row to view another form.

Submission Time
First Name
Last Name
Email
03/04/2025
fred
flintstone
fred@gmail.com
01/24/2025
Jennifer
Blanton
jcbj76@hotmail.com
01/05/2025
Test
User
test2@hisaor.org
12/09/2024
Travis
Formoso
tformoso@codpa.net
10/06/2024
lisa
franklin
lisafranklin53@hotmail.com
06/07/2024
Andrew
Strickland
astrickland@zionalex.org
04/05/2024
Heather
Kreiser
heather.kreiser@gmail.com
02/29/2024
Michael
Sunseri
pastorsunny375@gmail.com
01/11/2024
David
Jamar
kennethj@gojbar.com
01/08/2024
Alexander
Knowles
zknowles.sc@gmail.com
10/24/2023
Christopher
Vazquez
vazquezce29@icloud.com
09/29/2023
John
Munch
jmunch50@gmail.com
09/28/2023
Beth
Kopadt
beth21082gl@gmail.com
09/07/2023
Daniel
Person
djperson74@gmail.com
08/15/2023
Erik
Ronnegard
eronnegard@svt.org
06/13/2023
gail
ploetz
gailploetz@gmail.com
05/16/2023
Isis
Palacios
ipalacioscartin@dorchester2.k12.sc.us
08/31/2022
Norma
Walker
info@ganonglaw.com
08/26/2022
Karen
Morgan
kmorgan@northwoodacademy.com
08/08/2022
Chad
Bailey
chad@ccbaileyco.com
08/04/2022
Brad
Bailey
brad@bsbco.net
05/29/2022
Betty
Rubble
betty@gmail.com
05/29/2022
Wilma
Flintstone
wilma@gmail.com
05/29/2022
Wilma
Flintstone
fred@gmail.com
05/29/2022
B
R
br@gmail.com
05/09/2022
fred@gmail.com
Preliminary Statement of
Issues and Remedies Forms

These are the Preliminary Statement of Issues and Remedies Forms submitted via your profile (& thus owned by you as the reconciler). Click one of the rows in the table to open and view a specific information form. Click another row to view another form.

Submission Time
First Name
Last Name
Email
03/04/2025
amandajoycantu714@yahoo.com
03/04/2025
Amanda
Cantu
amandajoycantu714@yahoo.com
03/04/2025
Amanda
Cantu
amandajoycantu714@yahoo.com
02/01/2025
Terence
Johnson
terejohnson@me.com
01/24/2025
Jennifer
Blanton
jcbj76@hotmail.com
01/22/2025
Kevin
Cook
kcook7896@gmail.com
01/22/2025
Kevin
Cook
kcook7896@gmail.com
01/05/2025
Paul
Mueller
pmemueller@gmail.com
01/05/2025
Paul
Mueller
pmemueller@gmail.com
12/09/2024
Travis
Formoso
tformoso@codpa.net
10/04/2024
lisa
franklin
lisafranklin53.lf@gmail.com
07/22/2024
Bridget
Gausman
bridget.gausman@icloud.com
06/10/2024
Bryan
Barrett
bryanbarrett@gmx.com
06/07/2024
Andrew
Strickland
astrickland@zionalex.org
04/04/2024
Heather
Kreiser
heather.kreiser@gmail.com
04/04/2024
Heather
Kreiser
heather.kreiser@gmail.com
02/29/2024
Michael
Sunseri
pastorsunny375@gmail.com
02/02/2024
Kimberly
McAllister
friendofsingers@gmail.com
02/02/2024
Kimberly
McAllister
friendofsingers@gmail.com
01/17/2024
Shawn
Robey II
shawnrobeyii@yahoo.com
01/17/2024
Shawn
Robey II
shawnrobeyii@yahoo.com
01/08/2024
Alexander
Knowles
zknowles.sc@gmail.com
10/24/2023
Christopher
Vazquez
vazquezce29@icloud.com
09/29/2023
Beth
Kopadt
beth21082gl@gmail.com
09/07/2023
Daniel
Person
djperson74@gmail.com
09/02/2023
FredIpad
flintstone
fred@gmail.com
09/02/2023
fred
flintstone
fred@gmail.com
09/01/2023
Summer
Alvarado
summer.j.alvarado@gmail.com
09/01/2023
Summer
Alvarado
summer.j.alvarado@gmail.com
08/15/2023
Erik
Ronnegard
eronnegard@svt.org
06/22/2023
gail
ploetz
gailploetz@gmail.com
06/09/2023
Chris
Clarke
sendmenojunkmailok@yahoo.com
05/16/2023
Isis
Palacios
ipalacioscartin@dorchester2.k12.sc.us
11/10/2022
Christopher
Lorenz
archbuilder1@gmail.com
09/01/2022
Norma
Walker
info@ganonglaw.com
08/26/2022
Karen
Morgan
kmorgan@northwoodacademy.com
08/08/2022
Chad
Bailey
chad@ccbaileyco.com
08/04/2022
Brad
Bailey
brad@bsbco.net
08/04/2022
Brad
Bailey
brad@bsbco.net
08/04/2022
Fred
fred@gmail.com
06/29/2022
Sumner
Murray
sumnerthemurray@gmail.com
06/29/2022
Sumner
Murray
sumnerthemurray@gmail.com
06/02/2022
Katherine
Miller
katherinemiller3777@gmail.com
05/29/2022
B
R
br@gmail.com
Prepare this page to print
Personal Information Form
Delete this Information Form

Are you sure? This is not reversible. 

Cancel
Yes, Delete Now

Attorney Information

Religious Background

Who, if anyone, has had the most influence on your religious or spiritual life? (Please give names and relationships)

Other Party Information

Prepare this page to print
Interview Agreement
Delete this Information Form

Are you sure? This is not reversible. 

Cancel
Yes, Delete Now

Thank you for your interest in reconciliation. Our goal is to help guide Christians involved in conflict to remember their reconciliation with God and to reconcile with one another as children of God (2 Corinthians 5:16-21). This Interview Agreement sets forth our mutual expectations for using our reconciliation services, including an initial consultation.

We believe that the Bible provides thorough guidance and instruction for faith and life (2 Timothy 3:16- 17). Therefore, beginning with what God has done for us through Christ, we base our services on scriptural principles rather than those of secular psychology or psychiatry. God’s Word urges us to live in peace with each other by promoting understanding, personal responsibility, justice, and reconciliation (Romans 12).

All of our services are provided according to the Rules of Procedure found in Guidelines for Christian Conciliation published by the Institute for Christian Conciliation. The Rules are incorporated in this agreement by reference as set forth in their entirety. (You can view the Rules online at https://www.aorhope.org/rules)

Not Legal Representation – Christian reconciliation may be used to resolve legal disputes (Matthew 5:23- 26; 18:15-20; 1 Corinthians 6:1-8). Even so, our reconcilers do not provide the kind of legal advice and advocacy that can be obtained through a personal attorney. We work with and for all of the people in a dispute helping them to find a mutually satisfactory agreement. Therefore, if you are concerned about your legal rights, you should consult with an independent attorney who would be willing to accompany and advise you, if you deem it necessary, during the reconciliation process.

FeesThere is no fee charged for a 30-minute initial consultation. After initial consultation, our standard reconciliation fees will apply.

Confidentiality is an important aspect of the conciliation process and we will carefully guard the information you entrust to us. However, we may need to divulge information to appropriate authorities if there is a clear indication that someone might otherwise be harmed (see Rules of Procedure 16 and 17). You agree not to discuss our communication with people who do not have a necessary interest in the reconciliation process. By participating in this process, you agree to treat all dealings with us in regard to this dispute as settlement negotiations, which means they will be inadmissible in a court of law or for legal discovery. Furthermore, you agree that you will not try to force any reconciler to divulge any information acquired during reconciliation or to testify in any legal proceeding related to this dispute.

Our Commitments to You – We desire that parties be given the opportunity to tell their story in a safe environment and to lay their burden at the foot of the cross. To that end we will:

  • Listen with caring, compassionate concern, seeking to understand and to be supportive.

  • Provide you with the opportunity to tell us what is needed for healing and restoration.

  • Bring the Gospel to bear as we have opportunity, including confession and forgiveness.

  • Provide biblical coaching to help you live out your vocation as children of God in your disputes.

  • Keep confidences, only reporting to authorities what is appropriate or required by law (see above on confidentiality).

Briefly describe how we may serve you:

Good morning,

My siblings and I are looking for an experienced family mediator for our father and the three of us to meet with.

Long story short, our family doesn't need ongoing counseling, but a one-time, future focused mediation to navigate a difficult situation that has reached an impasse. We are focusing on finding someone with a biblically-based, Christian approach that can direct us in a loving, but impartial, way towards reconciliation. Again, we are not looking for a counselor or therapist, but a skilled mediator.

We are located all around Orange County, CA (southern CA) but are willing to travel within reason. We are only seeking in-person services at this time.

Is this something that you do? What does this type of meeting generally look like? Or, if this is not in your wheelhouse, would you have any recommendations for us to pursue?

I very much appreciate your time and attention and look forward to hearing from you.

Best,
Sherilyn Allen

Signature_edited.jpg
Prepare this page to print
Preliminary Statement of
Issues and Remedies
Delete this Information Form

Are you sure? This is not reversible. 

Cancel
Yes, Delete Now

Describe your dispute or conflict in three of four sentences:

I had an ongoing conflict with another pastors wife. in the conflict I sinned against her publically which led to church discipline. we did not have a church discipline policy i submitted to process and felt harshly swiftly excommunicated for not having a deep enough repentance. The church vote was called without much notice and I was characterized in an unnecessarily harsh way where my sins were pieced together sins that people had forgiven me for. A motion was made in meeting by pastor to excommunicate me and people voted in line with recommendation of pastors.

What do you want your reconcilers to do?

Help reconcile me to the church leadership

The questions to be answered in conciliation are:

The claims and remedies I seek are:

Biblical, Holy spiritual I have read Ken Sande peacemaker

bottom of page