Application to be a Community Conferencing Volunteer Facilitator Thank you for your interest in supporting the Mediation Center by volunteering. Please complete this form, and allow up to 2 weeks for a team member to get in touch with you regarding your application. We look forward to speaking with you.Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Confirm Email* Race/EthnicityAfrican AmericanAsianCaucasian/WhiteHispanic/LatinoNative AmericanPacific IslanderMulti RacialOtherGenderMaleFemaleTransgenderDate of BirthEDUCATION: In the field below list your level of education and if advanced education list the schools, majors and degrees*WORK EXPERIENCE: In the field below please describe your present and past occupations.*COMMUNITY SERVICE: In the field below please share your involvement with any groups or organizations.*AVAILABILITY: Which days and hours would you be available to facilitate?*How did you hear about volunteering at the Mediation Center?*Why do you want to volunteer for the Community Conferencing program?*Please describe life experiences that may be relevant to restorative justice, intercultural communication, and working collaboratively in groups of people.*What is your understanding of Restorative Justice, generally, and Community Conferencing, specifically? Please describe.**What Restorative Justice/Community Conferencing training have you had previously (if any)?**What experience do you have in leading a group or process?**Have you been a victim of a crime?**What interactions have you had with the justice system? Please describe.*Do you speak any other languages?*What are some of your personal interests or hobbies?Resume of ApplicantA resume is helpful to process your application. If one is available, please upload your resume or email it to spraylo@mediationsavannah.com.Volunteer ProvisionsConsent to Volunteer Provisions* By applying to volunteer at The Mediation Center, applicants agree to these provisions:Volunteer Availability: I commit to volunteering for an average of nine Community Conferences per year. Confidentiality: If accepted as a volunteer for The Mediation Center, I understand I may be privy to confidential information and agree to respect and maintain all confidential information whenever presented with it. Intellectual Property: I understand that in the course of volunteering I may participate in or create intellectual property on behalf of The Mediation Center. I understand that all such property, and all rights to its use, belong exclusively to The Mediation Center. Permission to use image: I understand that at many Mediation Center events, staff or volunteer photographers take pictures and videos. I understand the Mediation Center may use these images for community outreach, social media, reports, and fundraising. I give the Mediation Center permission to use my image taken at Mediation Center events for the purposes of community outreach, social media, reports, and fundraising. Permission to contact: I give permission for my contact details to be used by the Mediation Center to inform me of its activities relating to my work as a volunteer. I understand the Mediation Center will not pass contact details to any other organization. Terms of Volunteering: I understand that in order to ensure quality service, the Mediation Center maintains all authority over who volunteers and that at any time I may be dismissed as a volunteer.Application Confirmation* I confirm the information I have provided in my application is accurate.Thank you. A copy of your responses will be emailed to the address you providedCAPTCHA