BeFriender Ministry

A Listening Presence

Workshop registration
 Foundations for BeFriender Ministry

 PROGRAM SUPERVISOR

The program supervisor is the pastor or other paid staff person with ultimate accountability for BeFriender Ministry in the church or organization. For more on the program supervisor role, see "Getting Started."

   

DISCOUNT ELIGIBILITY

Click here for details on available discounts.

        

PAYMENT

Send checks payable to BeFriender Ministry to:

  • BeFriender Ministry
    Suite 101
    1301 American Blvd. East
    Bloomington, MN 55425

To pay by credit card (VISA, MasterCard or Discover), call the national office with your card information:

  •  952-767-0244

  •  toll free1-866-468-8708

Return to payment section of form

  

CONFIRMATION

You will receive an acknowledgement of your registration within 10 days after we receive your registration.

You will receive an e-GetReady e-mail 7-10 days prior to the workshop's start. The e-mail will include PDF attachments with directions to the site, pre-work, and other details.

Registrants without e-mail addresses will receive a printed copy of the information via U.S. Postal Service.

Please be sure to change settings on your computer and/or with your Internet Service Provider to allow e-mail from the domain befrienderministry.org so that the confirmation packet is not rejected or identified as spam.

Return to e-mail field on form

  

PREPARING FOR THE WORKSHOP

We recommend that you review two documents before you attend the workshop. They are available our website :

Both documents are in PDF format. Click below to see how you can install Adobe Reader for viewing PDF files.

 

 

 

 

Completing the form

Required fields are noted with an asterisk (Ü). Submitting the form without completing required fields may delete fields already entered.

Use the [TAB] key to move through the fields, do not use the [ENTER] key. Pressing the [ENTER] key will automatically submit the form.
    

 

If you prefer a paper copy of the registration form, or if you would like to register all of the individuals from your organization on one form, download the PDF file and mail it to our office.

  

 

Workshop Location and Dates

Please select the workshop you wish to attend:

 

October 4-7, Rosemount, MN

November 8-11, Louisville, KY

January 10-13, Prior Lake, MN

April 4-7, Golden Valley, MN

 

Registrant information

Name Ü

Phone Ü


Home    Work     Cell     Other
     

E-mail Ü
 

 

Please use the email address of the person who is attending the workshop.

Why is this field required?

  

Fax 

   

Church or organization

Church/org name 

Address 

City, State, ZIP 

Phone 

Denomination 

Pastor 

   

Preferred mailing address for registrant

Ü My preferred mailing address is my:  home   church/organization

      

Home address

Apt./Suite/Unit  

Address  

City, State, ZIP  

 

Special needs

Check here if you have special needs for the workshop
     (access, auditory, etc.). Someone from the National Office
     will contact you.

   

Your current role with your church or organization

 Pastor

  Parish nurse

  Chaplain

  Other paid staff

  Trained BeFriender in this program
       (BeFriender Ministry - A Listening Presence)

  Trained minister in another lay pastoral care program

  Trained leader in another lay pastoral care program

  Volunteer minister

  Other 

   

Status of your BeFriender Ministry program

  New BeFriender program
  Existing BeFriender program
  Undecided

    

How did you hear about this workshop?

Please select the one that most closely describes how you heard about the workshop:

Church/organization has BeFriender Ministry
Information packet from BeFriender Ministry National Office
Other direct mailing from the BeFriender Ministry National Office
Conference exhibit or presentation
Referral from someone who has the program
Referral from church governing body
Referral, other
Advertisement
Article in periodical or journal
Event notice in newspaper
Other

  
Details about your selection above (name of the person, organization, location, newspaper, conference, etc.):
             
    
 

Discounts

Please check the discounts that apply to your registration:

Early registration discount ($50) Can be combined with any discount below

Choose one of the following, if applicable

I am an additional registrant from my church/organization ($75)

My church/organization has ordered more than $150 in program materials in the past 2 years. ($75) Please call the national office to verify this discount.

I am a trained program leader who is retaking the "Foundations" workshop ($300)

Payment method

Registration is not confirmed until payment is received. Full payment must be received by the early registration deadline to qualify for the early registration discount

 

Please select your payment method Ü:

I will send a personal check or pay by personal credit card.

My church/organization will send a check or pay by credit card.

     
 Policies: payment, cancellation, and refund

Please read the policies and, after doing so, enter "yes" in the box below.

 

   Ü I have read and understand the payment, cancellation, and refund policies.