HomeMy WebLinkAbout206289 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362489 Page 1 of 1
ONE CIVIC SQUARE INDIANA FIRE CHAPLAINS CORPS CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 CHAPLAIN CARL COFFEY SIR
15 E MAIN ST CHECK NUMBER: 206269
NEW PALESTINE IN 46163
CHECK DATE: 211412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 150.00 EXTERNAL INSTRUCT FEE
INSTITUTE 9EGISTRATION
Schedule of events for both days
1-
Name P tzer 8:OOAM Coffee and pastries
)1373 Lc Rciveo 9)yd. 9:00AM Classes begin
Address 12:00PM Lunch served (free with registration)
City 1:OOPM Classes resume
4:OOPM Classes dismiss
State 21p Dress is casual for both days. Refreshments provided at all breaks.
Phone Life Church is located 2.5 miles west of 1 -465 on the westside of
1l Indianapolis at 9101 west 10th Street.
Email �oci� 11 1Z2lrC Vj,oVt �j2t� (�tUV6C V5 Contact Ton Portell for housin g
r information at 317 410 1010.
Please enroll me for: Conference Hosts
Essentials Level 100 Chaplaincy 150.00 Kenton Lord President
Dealing with Difficult Deaths 150.00 Indiana Fire Chaplains Corps
,K Strategic Competence and Coordination of (260) 708 -0001
Spiritual Care Multi -faith Memorials 150.00 kb9jsm @centurylink.net
1 am NOT a member of the FFC (Federation of Fire Tony Portell— Chaplain /Pastor Life Church
Chaplains) IFC (Indiana Fire Chaplains) and would (317) 410 -1010
like to join with my registration. tony @lifechurchindy.com
Tuition for 2 Days 150.00 Chaplain Carl Coffey Sr.— Registration i
One Year FFC membership 100.00
One Year IFC membership 10.00 ccoffey46235 @yahoo.com
Essentials Chaplaincy Training Manual 70.00 317- 448 -6987 t t
�o
Total Enclosed
Costs includes lunch both days and all handouts_
Come dressed casually and arrive at 8AM each day
for free coffee and pastries and a chance to connect x
with other chaplains and crisis responders.
4
Federation of Fire Chaplains
Ed Stauffer, Executive Director
P. O. Box 437
Meridian, TX 76665
254 -435 -2256 office /fax
www.firechaplains.org
i
1
�7
Now
Essentials of 1 R R Coordination o
Spiritual Care Multi-faith Memorials
Some deaths are more difficult than others. Police will
s y, treat each death the same so as to have an efficient
r investigation. EMS /Fire will treat each call the same
because that is what we are trained to do. We remove
i ourselves from the circumstances of the event and deal
with
advantage. f ront of us.
t deal withv ms where
victims he v cat tY
a;.
tims are at, not where we want them to be, and after a F
homicide or suicide, they will be all over the place.
LL3
Possible Topics
4yF SIDS t�
r
Homicide
Suicide
Death of Child
Extremely Traumatic Death
This introductory is essential to all Fire Chaplains and Sexual Assault
should be the first course you take when becoming a HPD or Substance Abuse altered victims
chaplain. This 16 hour course foundational course Mentally disturbed victims Chaplains, Community Crisis Coordinators, and Ser-
has been developed to equip the Fire Department Working with young children survivors vice Providers will learn implementation of Multi
and Chaplain with best practices and practical tool to Terrorism Faith
be effective in serving. Disaster Memorial Services from Pre Incident networking and
Topic to be covered include... Chaplain Self -Care following DDD training through planning and coordination of Spiri-
Foundation and History of Fire Chaplaincy Those completing of this class will receive CISM credits. tual Care Services Memorials during crisis manage
ment through reintegration to resources.
The Personhood of the Fire Chaplain Instructor: Bill Lotz
Chaplains Ministry to Firefighters Those completing of this class receive CISM credits.
Chaplain William Lotz has been serving as a fire and police
Chaplain's Ministry to Crisis Victims chaplain since 1986. He currently works with Tri Cities Chap- Instructor: Glenn Calkins
Beginning a Fire Chaplaincy Program laincy in Southeast Washington State coordinating chaplain
programs with ten emergency response agencies. Bill earned Glenn C. Calkins, M.Div., LCSW, BCC, DAPA is a Supervisor of
Operational Guidelines his Doctor of Ministry degree in Chaplain Studies from Golden Clinical Pastoral Education at Adventist Healthcare in Rock-
CISM (Critical Incident Stress Management) Gate Theological Seminary in 1999. ville, Maryland. He is a United Methodist Minister. He was a
Fi for 26 ears and an Emergency Medical Techni-
Firefighter Injury Death Notification ��v�-0 g y g y
f clan for 15 years. He has served as a Fire Chaplain for 22
Fire Service Funeral Procedures tr "s years. Glenn was selected to receive an Award for Distin
Confidentiality Issues and HIPPA F guished Achievement from the international Association of
Fire Fighters in 1989.
Instructors: Frank Kilcline
Frank Kilcline has served the fire service for nearly 40 F or re informatio
years and has served as State Police chaplain for 26 years.*
He is a certified FFC Instructor.' d
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Fire Chaplain Corps, Inc.
IN SUM OF
9101 West 10th Street
Indianapolis, IN 46234
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. I ACCT #!TITLE I AMOUNT Board Members
1120 I 43- 570.04 I $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
FEB 13 2092
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts 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))
$150.00
1 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