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Facilitating Civil Conversations
October 30, 2025
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Salutation
Archbishop
Bishop
Chaplain
Dr.
Elder
Fr.
Imam
Lt. Colonel
Major
Mr.
Mrs.
Ms.
Msgr.
President
Pastor
Prof.
Rabbi
Rev.
Rev. Dr.
Sheik
Sr.
The Most Reverend
The Rev. Canon
The Rt. Rev.
The Very Reverend
Venerable
Name
*
First
Last
Suffix
CPA
D.D.S.
Esq.
II
III
IV
Jr.
M.D.
Ph.D.
Ret.
Sr.
Email
*
Home Phone
Work Phone
Cell Phone
Preferred Contact Method
Phone
Email
Address Type
Home
Work
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
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Maryland
Massachusetts
Michigan
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Nevada
New Hampshire
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New York
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Organization/Congregation/School
Title
Faith Tradition
Athiest
Agnostic
Baha'i
Buddhist
Christian
Hindu
Jewish
Muslim
Quaker
Secular
Sikh
Unitarian Universalist
None
Other
Other Faith Tradition (please specify)
Denomination
Catholic - Roman
Catholic - Ukrainian
Christian - Evangelical
Christian - Church of Jesus Christ of Latter-day Saints
Coptic Orthodox
Greek Orthodox
Jewish - Conservative
Jewish - Orthodox
Jewish - Reconstructing
Jewish - Reform
Jewish - Renewal
Mennonite
Muslim - Shia
Muslim - Sufi
Muslim - Sunni
Nation of Islam
Protestant - African Methodist Episcopal
Protestant - Baptist
Protestant - Episcopal
Protestant - Lutheran
Protestant - Presbyterian
Protestant - United Church of Christ
Protestant - United Methodist
Salvation Army
Other
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Race/Ethnicity
African American
American Indian/Native American
Arab American
Asian
Black
Hispanic
White
Two of More Races
Other
Other Race/Ethnicity (please specify)
How did you hear about this training?
Internet search
Social Media
Interfaith Philadelphia Email
Partner Email/Newsletter (On Being, Bucks-Mont, etc)
Referred by a Friend/Colleague
Flyer/Poster
Attended Event/Met Interfaith Philadelphia Staff
Other
Other (please specify)
What is one thing you would be especially interested in learning at this training?
Any additional comments for the organizers regarding special accommodations?
Program Fees
*
Interfaith Philadelphia offers a sliding scale fee structure for our programs in order to welcome all from our community who wish to attend. Please go to https://www.interfaithphiladelphia.org/slide-scale-fee-structure/ for guidance that will help you determine the right fee for you. The suggested price of this program is $125 with a sliding scale option of $50-$225.
Minimum Price: $50.00
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