CJAM 40-hr Mediation & Restorative Justice Training Application Form
Thank you for applying to attend our 40-hour virtual training. Once your application is reviewed, we will contact you with additional details. If you have questions, please contact us at admin@cjamcenter.org or call 812-336-8677.

The cost of the training is $300. (Early Bird $260 by December 31; $275 by January 22, 2021). You may pay through our website, cjamcenter.org or
Mail a check to CJAM, 205 S. Walnut, Suite 16, Bloomington, IN 47404
First Name *
Last Name *
Email *
Address (Street,City,State,Zip) *
Phone Number *
D.O.B. *
Gender
Race
If Applicable: Occupation & Employer (if student, please list school/major and indicate anticipated graduation date.)
How did you hear about this training? *
How long do you plan to be in the Bloomington area? *
Have you had previous conflict resolution training *
Required
If yes, please describe previous mediation.conflict resolution training.
For which training are you applying? *
Required
Reason for attending training: *
How will this training help you meet your personal/professional goals? *
Are you interested in possibly volunteering with CJAM, once you complete the training? In addition to mediating, we have other opportunites. *
Required
If yes, please indicate what kinds of work you might like to contribute: Mediation, Professional, Office, Marketing, Fundraising, and other skills.
Any additional comments:
Submit
Never submit passwords through Google Forms.
This form was created inside of Community Justice & Mediation Center. Report Abuse