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).
Email *
Today’s Date *
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First Name *
Last Name *
Preferred Method of Contact *
Phone Number *
Single best option
Email *
Do you have questions, concerns or need further information at this time?
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.
Presbytery Involvement/History *
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.  
Home Church *
Do not abbreviate. Write ‘none’ if appropriate.
Racial Identification *
If selecting ‘self naming,’ please answer in the last question and note it as ‘race.’
Age *
Gender *
If selecting “Self Naming” please answer in the last question and note it as ‘gender.’ 
Sexual Orientation *
If selecting ‘self naming,’ please answer in the last question and note it as ‘orientation.’ 
Geography of “Home Congregation” *
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.   *
Which of the listed Support Teams best match your gifts, skills, and experience?  More than one may be selected.  
Select all that apply.  See the “Calling for the Repair & Reconciliation Alliance” document for details on each Support Team description. 
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?
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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