Application for Civil Mediator Training Application for Civil Mediator Training Application to attend the Mediation Center's Civil Mediator Training Name* First Last Dates of training in which you'd like to enroll*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* Plan to Become a Volunteer or Private Mediator*Volunteer Mediator: I plan only to volunteer mediate at the Mediation Center and understand there is a $250 fee for the training to cover administration and my mediator registration with the GODR.Private Mediator: I may volunteer and plan to privately mediate at some point in time and understand there is a $1250 fee to take the training and administration of observations and comediations. I understand I am responsible for renewing my registration with GODR annually.The Mediation Center General Civil Mediation Training is approved by the Georgia Office of Dispute Resolution (GODR). All participants receive the same training. Resume of ApplicantA resume is required to process your application. Please upload your resume or email to email@example.com.