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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 |
|---|---|---|---|---|
03/20/2026 | Courtney | Jones | cjmatyk@hotmail.com | |
03/19/2026 | Saulo | Bledoff | saulohz@live.com | |
03/18/2026 | Dee Macolly | Macolly | nathandorothy@gmail.com | |
03/11/2026 | Darren | Henderson | dhenders24_2000@yahoo.com | |
03/08/2026 | Smain | Ss | smain.root@gmail.com | |
03/04/2026 | Andy | Honeycutt | andyhoneycutt2018@gmail.com | |
03/02/2026 | Carol | Sim | hkcarolsim@gmail.com | |
02/27/2026 | Jay | Duenkel | jay.duenkel@gmail.com | |
02/26/2026 | Saulo | Bledoff | saulohz@live.com | |
02/20/2026 | Eugene | Sim | eugenepsim@gmail.com | |
01/20/2026 | Kristen | Newcomer | kbnewcomer@gmail.com | |
01/09/2026 | Kevin | Gervais | green-moss@outlook.com | |
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 |
|---|---|---|---|
03/20/2026 | Courtney | Jones | cjmaryk@hotmail.com |
03/20/2026 | Saulo | Bledoff | saulohz@live.com |
03/11/2026 | Darren | Henderson | dhenders24_2000@yahoo.com |
03/02/2026 | carol | sim | hkcarolsim@gmail.com |
02/27/2026 | Jay | Duenkel | jay.duenkel@gmail.com |
02/20/2026 | Eugene | Sim | eugenepsim@gmail.com |
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 |
|---|---|---|---|
03/24/2026 | Saulo | Bledoff | saulohz@live.com |
03/20/2026 | Courtney | Jones | cjmaryk@hotmail.com |
03/11/2026 | Darren | Henderson | dhenders24_2000@yahoo.com |
03/02/2026 | Eugene | Sim | Eugenepsim@gmail.com |
03/02/2026 | Mike | Smith | michael.garrick.smith@gmail.com |
02/27/2026 | Jay | Duenkel | jay.duenkel@gmail.com |
02/20/2026 | Eugene | Sim | eugenepsim@gmail.com |
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.
Attorney Information
I did hire an attorney to help me get communication moving in an attempt to get a payment agreement of sorts made. This was per previous conversations.
My husband and I met with my Executive Pastor, Les Lofquist on February 20, 2026
Religious Background
I have been attending and serving at The Shepherds Church for the last 16 years. It became non-denominational a few years ago.
I am not a member.
I have included my Executive Pastor’s info below- due to our meeting
In a Church of God, Pentecostal, from an early age- young adult.
Scripture
It is all encompassing.
Who, if anyone, has had the most influence on your religious or spiritual life? (Please give names and relationships)
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:
-
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:
I have a few questions regarding arbitration.

Preliminary Statement of
Issues and Remedies
Are you sure? This is not reversible.
Describe your dispute or conflict in three of four sentences:
During Kira’s mother’s visit at the birth of our first child, a conflict occurred while Kira was just one week postpartum. Kira’s mother reacted strongly to perceived issues in our marriage and made serious accusations about Saulo. These accusations included claims about dishonesty, danger, concerns for our child’s safety, and diagnosing Saulo as a narcissist. Multiple attempts at conversation, clarification, and explanation have not resolved the situation - instead, these efforts have led to increased emotional intensity, deflection, and a refusal to engage with the content of our concerns. After 22 months of cyclical conflict, escalating emotional pressure, and repeated breakdowns in communication, we requested mediation as the only condition for moving forward.
What do you want your reconcilers to do?
Help us stay on topic during conversation, and talk all the way through one point at a time. Help us to agree on the facts of what actually happened. Keep us accountable for our words and prevent us from further hurting each other by anger. Make us subject to the word of Scripture, and not to our own opinions and preferences. Help to guide and teach both parties in learning how to have a healthy Biblically correct relationship.
The questions to be answered in conciliation are:
What, according to Scripture, does each one of us need to apologize for? What, according to Scripture, are the terms we need to agree on to reestablish a relationship for the future?
The claims and remedies I seek are:
The opportunity to clearly understand in what ways I offended my mother-in-law, and to apologize to her. The opportunity to talk through the details of everything that happened in a way that satisfies the concerns of everyone involved, without ignoring important aspects that could keep on festering below the surface. Also, the opportunity to explain myself, that I have no wish to separate my mother in law from her daughter. The opportunity to be heard when requesting from my mother-in-law that she stops claiming unfounded accusations against me, which puts my marriage, my relationship with my children, and my ministry at risk. I also seek the strength that the Holy Spirit gives to forgive from the heart, as well as practical advice from Scripture that will make our relationship better in the future.

