Training Request - Reconciliation Ministry

Contact's Name*

Contact's Email*

Enter Email Confirm Email

Contact's Daytime Phone*

Contact's Evening Phone

Start Date of Event*

End Date of Event*

Alternate Date of Event*

Name of organization funding the event:*

Organization's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Location of the event (if different than above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Training Location Information

Training Type*

Virtual
In-Person

Nearest Airport*

Training Location Setting (select all that apply)*

Conference Style Training Facility
Camp Experience
Church Building
Other

Please describe the location setting

Group Information

Number of people anticipated in training*

Please enter a number greater than or equal to 1.

Group's Clergy Status*

Laity Only
Clergy Only
Mix of Laity and Clergy

Group's Racial Makeup*

Racially Homogenous
Racially Diverse

Length of Training

Training Costs include stipends for trainers and travel expenses (transportation, lodging and meals). Additional costs may be incurred for supplies and printing. These are all the responsibility of the hosting organization.

The standard model for every training event employs two trainers. Exceptions should be requested by contacting Reconciliation Ministry.

Stipends:
Core Organizer Trainer:Trainers that are equipped to provide both training and coaching for the social-historical analysis of racism and who also are equipped to facilitate two or more days of training - $500 per day per trainer (Example – two-day training with two trainers = $2,000 plus travel and supply expenses)

One Day Trainer: Trainers that are equipped to provide training of the introduction to the analysis of racism $250/day/trainer

Choose desired training length*

Name of Requested Trainer (optional)

If you would like to request a particular trainer, we will make every effort to work with you. It may be that specific trainers are not available for your chosen date and another will be contracted.

Method of Payment

An invoice will be provided upon confirmed scheduling of training.

Method of Payment*

Inter-fund transfer: only regions with an agreement through Treasury Services are eligible for this method.)
Check/ACH: this requires payment prior to training, made payable to Reconciliation Ministries, PO Box 1986, Indianapolis, IN 46206

Request for Trainer

Request for Trainer Form

Training Location Information

Group Information

Length of Training

Method of Payment

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