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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 |
|---|---|---|---|---|
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 |
|---|---|---|---|
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:
I have tried to separate from my husband and confront him on emotional abuse in a Matthew 18 style confrontation with the help of my pastor and church life group. As part of what I asked for to see repentance for his controlling, manipulative, and abusive behaviors, I have repeatedly asked him to move out of our house. He refuses. I left our two children with him last Friday, January 16th under the agreement that I would come back to the house with our two young boys on Monday night, January 19th. Today he changed the plan and is not letting me back into the house, and is denying me my role as stay-at-home mom and primary caregiver to our two boys. Our church leaders say they can’t help us and recommend you to help us.

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.

