Community Mediation Class Application

Please complete the following application to attend the Mediation Center's Community Mediation Class. Our team will contact you to confirm receipt and answer any questions that you may have.

Name(Required)
First Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which neighborhood/community do you live?
Phone(Required)
Email(Required)
Confirm Email(Required)
I want to attend the training for the following session(Required)
The Mediation Center receives funding to provide the Restorative Conferencing Training for free. As part of reporting requirements, please complete the following section.
Gender(Required)
Age(Required)
Household Income(Required)
Race(Required)
Employer(Required)

If unemployed, please identify as "Unemployed," and if self-employed, please identify as "Self-employed" in the field box.
Help our team know more about your interest in Community Mediation.
Why are you interested in this community mediator training program?
When you think of the skills needed to deescalate community level conflict, which of those skills have you developed prior to now? How did you develop them?
What role would you like to play in helping your peers here in Savannah (and other parts of Georgia) develop community mediation skills?
What types of community conflict in your neighborhood (or in the County) most concern you?
If there is someone else that you recommend we contact, please list their name and contact information below.
What local organizations, associations, or groups do you currently support?
Commitment to Volunteer as a Community Mediator
- I agree
- I do not agree
By completing this 28-hour training, I will volunteer time to resolve conflicts in my community. I understand this means I will not charge participants a fee for the community mediation and facilitation I provide. In order to be added to the volunteer mediator roster, I will be responsible to sign and submit a Volunteer Commitment Form. Furthermore, I agree to answer a monthly questionnaire so the Mediation Center can report the impact and value of my work, conflict resolution programs, and the needs of the community.
By agreeing to commit as a Community Mediator I agree to volunteer and resolve conflict in the following ways
- Out in the community with little or no support from the Mediation Center
- Out in the community with the help and support of the Mediation Center
- Mediating and facilitating at the Mediation Center in a more controlled environment
- Community conversations/dialog
- Not sure how I want to volunteer. I just know I want to support my community and the Mediation Center in any way I can.
Do you have any questions or comments you'd like us to consider?
How did you hear about the class?

Community Mediation Class Application

Community Mediation Class Application

The Mediation Center receives funding to provide the Restorative Conferencing Training for free. As part of reporting requirements, please complete the following section.

Help our team know more about your interest in Community Mediation.

Contact Us

Donate

Community Mediation Class Application

The Mediation Center receives funding to provide the Restorative Conferencing Training for free. As part of reporting requirements, please complete the following section.

Help our team know more about your interest in Community Mediation.

Contact Us

Connect With Us

Donate