Application For Teens Mediate Training Program

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Please provide your first and last name *

What school do you attend? *

What grade will you be entering in the Fall of 2023? *

Please tell us why you are interested in learning about mediation. (Your answer is limited to 500 characters.) *

Please tell us what you are hoping to get out of attending the training program. (Your answer is limited to 500 characters.) *

Being part of a learning community on Zoom requires you to be present and not texting or otherwise distracted. Is this something that you can commit to do? *

Yes

Are you seeking financial assistance? *

Yes

Please provide us with the name and telephone number of your emergency contact. *

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