184529 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351774 Page 1 of 1
ONE CIVIC SQUARE WAYNE TOWNSHIP FIRE DEPARTMENT
700 N HIGH SCHOOL ROAD CHECK AMOUNT: $150.00
io CARMEL, INDIANA 46032
INDIANAPOLIS IN 46214 CHECK NUMBER: 184529
CHECK DATE: 4114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 150.00 EXTERNAL INSTRUCT FEE
INSTITUTE REGISTRATION
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I
-Chan pISM Norm o f
N&fth 1 1 1 1 1 1
Cha D i 1
The purpose of this workshop is to provide participants
This introductory f M1 This CISM class continues the integration of principles of with an integrated synopsis of program innovations, con
is essential to all .tl�� psychological crisis intervention and the practices of pas- sensus reviews, and research findings relevant to crisis
Fire Chaplains
toral support. and disaster mental health intervention. As the ICISF cur-
and should be
riculum has undergone significant changes in the last 12
the first course 6w Participant in the PCI class will learn: months, this workshop is offered as a "one stop shopping"
you take when The nature of human crisis opportunity to gain the latest information on issues and
becoming s changes that are essential to the domains of critical inci-
g a r y The nature of crisis intervention dent stress management, crisis and disaster response.
chaplain. This 16 This is a co m p etency-based worksho that will serve to
hour course foun-
hour co Be able to recognize signs of crisis p
co course 1� satisfy ICISF requirements for ICISF Trained Trainers and
dationa Basic criteria for psychological triage those seeking Certificates of Advanced Training.
has been devel-
oped to equip the Assessment and screening
Instructor: Ed Hatcher
Fire Department To recognize the "crisis of faith" A retired Air Force chaplain with more than 30 years of
and Chaplain Psychological intervention pastoral experience. He specializes in crisis and trauma
with best prat- ministry. He holds all ICISF Certificates of specialized
tices and practical tool to be effective in serving. Liaison intervention training and is an Approved Instructor for 15 different
Topic to be covered include...
Spirituat and Religious intervention ICISF courses.
Foundation and History of Fire Chaplaincy
The Personhood of the Fire Chaplain f o r Cha lalns 0
Chaplains Ministry to Firefighters I 1
a
Chaplain's Ministry to Crisis Victims 'I This one day experience will give chaplains Y a hands-on
p g p
Beginning a Fire Chaplaincy Program opportunity to better understand the role and challenges
Operational Guidelines d of the firefighters we serve. Emphasis will be placed on
C Management) a where and when the chaplain can intersect with the fire-
CISM (Critical Incident Stress
y fighter from the fire house to the fire scene.
Firefighter Injury Death Notification rr This class will consist of an overview of what firefighters
face in the way of training, the stresses of the job and how
Fire Service Funeral Procedures
t each part of the call to be a firefighter places strain on the
Confidentiality Issues and HIPPA, h x y 9 individual both physically and emotionally.
Instructors: Ed Stauffer, Jim Burns Frank Kilcline This class is for the non firefighter. If you have never
Ed Stauffer is the founder and executive director of the This two -day course consists of 13 hours. The instructor served as a firefighter you may find a deeper appreciation
Federation of Fire Chaplains. He is past Chaplain of the utilizes an interactive method of instruction, utilizing the for those you serve as chaplain by the time this class is
IAFF and Chaplain for the Fort Worth fire department for manual, multi -media presentations, videos, role -play, skill over. Come ready to get dirty. If things work out, we will be
38 years. building exercises, case studies, etc. to achieve the objet- pulling hose, crawling on the ground doing a building
tive. This two -day course builds on Group and Individual search, and finding out just how much all that gear
Jim Burns has served Indiana firefighter and chaplains CISM courses. weighs. Some exercises will be out side rain or shine.
for many years. He is a certified trainer and former coor- Prerequisite for this class is Pastoral Crisis Intervention 1. Instructor: Kenton Lord
dinator of the Great Lakes Training Institute.
Instructor: Glenn Caulkins IFSAC Instructor II /III, Firefighter 1 /II, EMT-13 first certified
Frank Kilcline has served the fire service for nearly 40 The PCI class is taught by ICISF approved instructor Glenn 1981. Masters of Divinity 1994 Emory University, Atlanta
years and has served as State Police chaplain for 26 Calkins, M.Div., CCSW, one of the authors of the course GA. Serve the Indiana Volunteer Firefighters Association as
years. workbook. an associate chaplain of about 6 years.
oil III
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wayne Township Fire Department
IN SUM OF
700 N. High School Road
Indianapolis, IN 46214
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 570.04 $150.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
APR 12 2010
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Regis. Fees Pastor Kizer $150.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer