Section 1 of 1
Repair & Reconciliation Alliance - Support Team & Support Church Application
To be completed by all members of the Pittsburgh Presbytery body who have an interest in serving in this work. Applications for any Support Team will be ongoing (no deadline at this time).
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Today’s Date
Today’s Date
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First Name
First Name
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Last Name
Last Name
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Preferred Method of Contact
Preferred Method of Contact
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Email
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Text
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Phone Number
Phone Number
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Email
Email
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Do you have questions, concerns or need further information at this time?
Do you have questions, concerns or need further information at this time?
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If you have any questions, concerns or request further information about the Repair and Reconciliation Alliance and its Support Teams, please indicate below and a member of the Nominating Committee will be in touch with you as soon as possible to set up a telephone or Zoom meeting.
Yes, please contact me
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Presbytery Involvement/History
Presbytery Involvement/History
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Presbytery and/or church position, role or title - may be multiple, or may be general and singular, as in ‘congregation member.’ Please list all current and former roles, committees, ministry/mission teams, etc. We are trying to understand the scope of your engagement. Write ‘none’ if not a congregation member or minister.
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Home Church
Home Church
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Do not abbreviate. Write ‘none’ if appropriate.
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Racial Identification
Racial Identification
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If selecting ‘self naming,’ please answer in the last question and note it as ‘race.’
Black/African American
White
Asian
Multi-Racial
Hispanic/Latino
Pacific Islander
American Indian
Self Naming
Prefer Not to Name
Other…
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Age
Age
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18-25
26-39
40-59
60+
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Gender
Gender
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If selecting “Self Naming” please answer in the last question and note it as ‘gender.’
Male
Female
Non-Binary
Self Naming
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Sexual Orientation
Sexual Orientation
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If selecting ‘self naming,’ please answer in the last question and note it as ‘orientation.’
GLBTQIA+
Heterosexual
Self Naming
Prefer not to name
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Geography of “Home Congregation”
Geography of “Home Congregation”
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Rural
Rural/Suburban
Suburban
Urban
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Are you applying for a specific Support Team to the Alliance, or willing to serve in any capacity that the Alliance deems needed? Or are you applying for your church to be named a “Support Church” to the Alliance? Note that the current list of Support Teams very likely will not cover all of the possible support that the work of the Alliance will require, but are given as an early guide to anticipated needs.
Are you applying for a specific Support Team to the Alliance, or willing to serve in any capacity that the Alliance deems needed? Or are you applying for your church to be named a “Support Church” to the Alliance? Note that the current list of Support Teams very likely will not cover all of the possible support that the work of the Alliance will require, but are given as an early guide to anticipated needs.
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Which of the listed Support Teams best match your gifts, skills, and experience? More than one may be selected.
Which of the listed Support Teams best match your gifts, skills, and experience? More than one may be selected.
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Select all that apply. See the “Calling for the Repair & Reconciliation Alliance” document for details on each Support Team description.
Archival Research
Historical Review
Interviews
Visual/Media Representation
Statistical & Financial Data
Expert Testimony
Digital Recording and Writing
Support Church - praying for the Alliance, and/or providing space, guidance, clerical support, monetary support
Other…
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List any accommodations and assistance that you might need in order to participate in the work of the Support Teams. Think broadly about the term, “accommodation.” What are the ways that the Alliance and the Presbytery could help ensure your or your church’s participation?
List any accommodations and assistance that you might need in order to participate in the work of the Support Teams. Think broadly about the term, “accommodation.” What are the ways that the Alliance and the Presbytery could help ensure your or your church’s participation?
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Please use this space if you previously selected any “self-naming” options, or if there are any questions, clarifications, or comments that you’d like to include.
Please use this space if you previously selected any “self-naming” options, or if there are any questions, clarifications, or comments that you’d like to include.
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