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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 |
|---|---|---|---|---|
12/08/2025 | Kellianne | Beltran | kelli.beltran@gmail.com | |
11/19/2025 | Brenda | Morales | escondidosportsdoc@icloud.com | |
11/04/2025 | Amber | North | amberclaricenorth@gmail.com | |
10/29/2025 | Marie | Torres Fisher | fishermaria0813@outlook.com | |
10/27/2025 | Chip | Miller | chip.miller@drake.edu | |
10/20/2025 | Gabe | Powell | gabe.powell@hopebible.org | |
10/05/2025 | HENEIETTA | VINSON | 01loveones@gmail.com | |
10/03/2025 | Steve | Economides | econfamily@gmail.com | |
10/01/2025 | test2 | user | test2@hisaor.org | |
09/30/2025 | BRUCE | ZOELLER | bzoeller@TheChristianAdvantage.com | |
09/13/2025 | lisa | franklin | lisafranklin53@hotmail.com | |
08/26/2025 | Fay | SOBOTTKA | FaySobottka42@gmail.com | |
08/25/2025 | Fay | SOBOTTKA | FaySobottka42@gmail.com | |
06/13/2025 | Mike | Smith | michael.garrick.smith@gmail.com | |
06/12/2025 | Sam | Keithley | agriefobserved@gmail.com | |
05/12/2025 | Alison | Smith | alison@stsconsulting.net | |
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 |
|---|---|---|---|
12/08/2025 | Kellianne | Beltran | kelli.beltran@gmail.com |
11/04/2025 | Amber | North | amberclaricenorth@gmail.com |
10/29/2025 | Marie | Torres Fishet | fishermaria0813@outlook.com |
10/20/2025 | Gabe | Powell | gabe.powell@hopebible.org |
10/06/2025 | Charles | Bertolini | scott@coastalccinc.com |
10/03/2025 | Steve | Economides | econfamily@gmail.com |
09/30/2025 | BRUCE | ZOELLER | bzoeller@TheChristianAdvantage.com |
06/25/2025 | Ryan | Bajema | ryanbajema@gmail.com |
06/12/2025 | Samuel | Keithley | agriefobserved@gmail.com |
06/11/2025 | Tara | Bajema | tarabajema@gmail.com |
05/12/2025 | Alison | Smith | alison@stsconsulting.net |
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 |
|---|---|---|---|
12/08/2025 | Kellianne | Beltran | kelli.beltran@gmail.com |
11/04/2025 | Amber | North | amberclaricenorth@gmail.com |
10/06/2025 | Charles | Bertolini | scott@coastalccinc.com |
10/03/2025 | Steve | Economides | econfamily@gmail.com |
09/30/2025 | BRUCE | ZOELLER | bzoeller@TheChristianAdvantage.com |
08/26/2025 | Fay | SOBOTTKA | FaySobottka42@gmail.com |
06/25/2025 | Ryan | Bajema | ryanbajema@gmail.com |
06/12/2025 | Sam | Keithley | agriefobserved@gmail.com |
06/11/2025 | Tara | Bajema | tarabajema@gmail.com |
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 |
Personal Information Form
Are you sure? This is not reversible.
None
Never married, we were together engaged never married.
Attorney Information
Religious Background
I am Baptized Lutheran
I was not brought up in a religious home. I discovered my relationship with God as he made himself present in my life.
yes 100%
Daily in the mornings is when I like to do it as well as before sleeping.
It's what I have learned and seen to be true.
It is the most accurate.
Who, if anyone, has had the most influence on your religious or spiritual life? (Please give names and relationships)
My therapist and honestly the 12 steps. My ex was in alcoholics anonymous and I was recommended to go to al-anon. Eventually I found CODA and there is where I truly learned about my spirituality.
Other Party Information
Interview Agreement
Are you sure? This is not reversible.
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.
Fees – There 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:
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Listen with caring, compassionate concern, seeking to understand and to be supportive.
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Provide you with the opportunity to tell us what is needed for healing and restoration.
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Bring the Gospel to bear as we have opportunity, including confession and forgiveness.
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Provide biblical coaching to help you live out your vocation as children of God in your disputes.
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Keep confidences, only reporting to authorities what is appropriate or required by law (see above on confidentiality).
Briefly describe how we may serve you:
My partner and I (he is my "ex" but also my business partner because we were not married) have shared a business since 2012 and our daughter was born in 2015. We separated about 2018 but reconciled a few times. Ultimately we cut ties romantically completely in I believe 2022. I can't recall. Since then we've been coparenting and running our businesses amicably for the most part. We never filed with the courts in the USA we have pretty much always been able to come to some agreement...Our business is a FL Inc and we resided in Florida. Our daughter was born in FL. My partner moved to El Salvador end of 2023/beginning 2024 and remarried. It was difficult with our daughter being so far from him for months and I also spent time over the summer away from her. Honestly it was difficult on all of us...So he proposed for me to move to El Salvador. In this agreement he was to pay me a certain sum of money as well as the company would pay for my moving and home expenses. (He never paid the sum of what was agreed). However the company has been paying my rent and some moving expenses. I will note we have a very successful business to which he is 65% owner and myself 35%. He is 51 years old, I am 37 and my entire career has been working with him so ofc I owe much to him. As of today my partner wants to leave El Salvador for another country (NOT the USA) he wants to go to Costa Rica or Belize. I am not for this as I feel yet another move is not good for our daughter. And the last move was made hastily. I feel being here has been worse for her in many respects-- language barrier, she's not doing well in school and rejects the Latin culture in many ways. So while I don't love it here for her either I also don't feel that ANOTHER NEW country is in her best interest. So we are at an impasse. While I understand exactly what and why he wants it, I don't feel it best for our daughter. She has expressed very clearly she doesn't want to go to either country and DOES want to go back to the USA. My ex partner vehemently is against returning to the USA. I've consulted with local attorneys. Currently our jurisdiction for custody disputes in El Salvador and the court system favors women and number two I can easily request authorization to leave to the USA. I've spoken with a highly regarding attorney and she is well aware of what my daughter wants. Regarding the business he is attempting to threaten me and make motions regarding the business - to which I am fine to step away from fairly. However I feel he is doing this simply because I won't agree to his demands to move to another country. The conduct is far from amicable and truly needs to stop. However if it doesn't I am truly willing to cut ties regarding the business. I would note that if this is the case I will be basically forced to go to the USA and find work. The matter is two fold - one being custody with our daughter and 2 regarding the business. He has become threatening (with our business) now that I am not agreeing to do what he wants regarding custody and our daughter. To me the more important is to settle our custody disagreement and secondarily the business.

Preliminary Statement of
Issues and Remedies
Are you sure? This is not reversible.
Describe your dispute or conflict in three of four sentences:
My ex partner (romantic) and current business partner (his name is Robert), wants our daughter and myself to (yet again) relocate to another country. We reside in El Salvador, have been here for 1.5 years and he wants to move to Belize or Costa Rica. My daughter has lived in Florida previously her entire life. She is ten. Business wise he is making me threats and demands due to me disagreeing and I want him to quit doing as such and if necessary agree to an exit.
What do you want your reconcilers to do?
Assist both of us in seeing light that perhaps we aren't seeing. Assist us in communicating concerns and issues to the other. Coming up with a plan going forward. We have wanted to avoid the court system and wasting money basically.
The questions to be answered in conciliation are:
How will we settle this custody agreement?
How will we settle business going forward?
The claims and remedies I seek are:
An agreement that is child centered. I want to stop any and all threats and misconduct in business. I am happy to leave the business if need be however that also requires me going back to the USA where I am legally authorized to work.

