Registration 40-Hour General Civil Mediator Training
SCAO Approved General Civil Mediation Training
October 28-30, November 11-13, 2020
Fulfills the training requirements of MCR 2.411(F). Must attend all six days to receive your training certificate.
Via Zoom
678 Front Ave., NW, Grand Rapids, MI 49504 *Possibility of days 3 and 6 being in-person
Contact us at (616) 774-0121 or info@drcwm.org
Name (as you wish it to appear on your certificate) *
First Name (as you wish it to appear on your name tag) *
Email *
Telephone number *
Cell number (in case of emergency) *
Address *
Occupation/employer *
Education (please list degrees) *
Related experience/training *
Where did you hear about this training? *
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Cost (check all that apply) *
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Payment (Check one) Please note cancellations on or after October 14, 2020, will forfeit their deposit. Cancellations on or after October 21, 2020, will forfeit 50% of their fee. *
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If paying by credit card --follow this link (please note - you will need to return to this form to complete your registration https://paypal.me/DRCWM
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