Conflict Management Training
Name (first and last)
Department, Lab or Center
Best phone number to reach you
Please check all that apply
Are you interested in being a TA for future training sessions?
To which training are you applying?
Briefly explain why you are interested in this conflict management training, including what types of conflicts you deal with in your work or life.
Please describe any previous mediation or conflict resolution experience (e.g., courses taken or work projects).
(Please note: previous experience is not required for this course.)
Please choose the tier level to which you are applying
Choose only the highest level you would like to attend
Tier 1 (16 hours)
Tier 2 (28 hours)
Tier 3 (40 hours)
If you have completed tiers of the conflict management training in the past, please indicate the tier and date of completion.
I understand that I must attend all the sessions of the tier to which I apply. There are no makeup sessions. If I am accepted and enroll in the course, I agree to attend all the sessions required for my tier.
Please list any dietary restrictions you would like us to accommodate.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service