Tell Us About Yourself

Name*

Address

Email*

Phone

Training

I would like to take civil mediation training.

I would like to take domestic mediation training.

I have already been trained elsewhere and would like to volunteer for CMS.

Please briefly describe any mediation experience you may have had in the past.

Other Volunteer Activites

I would also be interested in volunteering occasionally for these CMS tasks:

Making presentations to area clubs and organizations using a prepared CMS PR Package.

Assisting the Case Manager in conducting case intakes

Planning fundraising events.

Assisting the Director with volunteer appreciation activities.

Organizing continuing education seminars for volunteers

Other (Please describe below)

Agreement

Please indicate agreement by checking the boxes below*

I give my consent for CMS to conduct a criminal background check on me before I am permitted to become a CMS volunteer.

I understand the Executive Director may remove my name at their discretion from the CMS volunteer roster should my skills not meet reasonable standards of quality.

I understand that I must participate in an eight-hour Advanced Training Workshop every two years to maintain my standing on the volunteer mediation roster.

I am available to mediate during weekday hours.

I give my consent for CMS to send its monthly newsletter and/or other volunteer information to the email account on this application.

Entering your name in the box below constitutes your signature, which affirms the above information to be true to the best of your knowledge.

Signature*

Become a Mediator

Tell Us About Yourself

Other Volunteer Activites

Agreement

Letter from the Executive Director