- The Mediation Center of the Coastal Empire

Application for Specialized Domestic Violence Mediation Training

REFUND POLICY: The Mediation Center reserves the right to refuse a refund to those that fail to attend the training on the indicated registration date. Failure to notify the Mediation Center within seven (7) calendar days will result in a forfeiture of payment, which we will recategorize as a donation to the Center's community education programs and services. All refunds provided by the Center will be issued via check and mailed to the address provided during registration. Payments will be mailed out using USPS within seven (7) business days of notification/cancellation of attendance. If you have any questions regarding our refund policy, please contact Lee Robbins at lrobbins@mediationsavannah.com

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Name*

First Last

Are you currently registered with the GODR in the Domestic Relations Mediation category?*

Dates of training in which you'd like to enroll*

Our Center is currently working on a project to increase interest in mediation opportunities among young adults(21-35). To keep track, please tell us your age at the time of training.*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Confirm Email*

Training Fee Scale and Commitment*

I plan to take the Mediation Center training, manage my GODR registration, and do not plan to volunteer at the Mediation Center. I understand there is a $600 fee to take the training. I understand I am responsible for updating my registration with GODR by submitting my training certificate of completion.

Volunteer Option 1: I plan to mediate non-Mediation Center mediation cases. I also wish to volunteer at the Center and commit to mediate 1-2 cases per month for 1 year and understand that the fee is $600. I will be responsible for updating my registration with GODR by submitting my training certificate of completion.

Volunteer Option 2: I plan to mediate non-Mediation Center mediation cases. I also wish to volunteer at the Center and commit to mediate 3-5 cases per month for 1 year and understand that the fee is $300. I will be responsible for updating my registration with GODR by submitting my training certificate of completion.

Volunteer Option 3: I plan to mediate non-Mediation Center mediation cases. I also wish to volunteer at the Center and commit to mediate 6 or more cases per month for 1 year and understand that the fee is waived. I will be responsible for updating my registration with GODR by submitting my training certificate of completion.

Volunteer Option 4: I plan to mediate exclusively through Mediation Center as a volunteer. This volunteer commitment will be ongoing. Therefore, the training fee is waived. To support volunteers, the Center commits to providing free CE opportunities each year. I understand that I have the right to change my mind. If, at any point, I want to mediate non-Mediation Center cases I agree to notify the Center and pay the full training cost.

Resume of Applicant

Max. file size: 2 GB.

A resume is required to process your application. Please upload your resume or email to tmurphy@mediationsavannah.com.

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Application for Specialized Domestic Violence Mediation Training

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