Teamwork Method Training Application
Please fill out the following form. We'll be in touch once we receive it to set up an interview Zoom call. Thanks, Max Rivers, TheMarriageMediator.
Email address *
I. Demographics
1. Your Contact Info:
a. Your Full Name: *
Your answer
b. Email Address: *
Your answer
c. Cell Phone: *
Your answer
d. Home Address:
Your answer
e. Work Address: (if different)
Your answer
f. Website:
Your answer
2. Relationship Info:
a. Relationship Status: *
b. If in relationship, significant other's name:
Your answer
c. If you have more than one significant other, choose one to participate in program with. If you'd like to have more than one in your sessions and support group, describe your situation, and we'll be in touch.
Your answer
d. Significant Other's email:
Your answer
e. Please give a short description of your significant past relationships, with a description of your understanding of what caused relationships to end:
Your answer
f. Please give a short description of your current relationship(s), with a focus on what’s working in your relationship and what your current or long‐standing challenges are:
f-1: Description of Current Relationship(s) *
Your answer
f-2: What's Working in Current Relationship(s) *
Your answer
f-3: Challenges in Current Relationship(s) *
Your answer
3. Education and Work History
3-a. Relevant education or training that you had: *
Your answer
3-b. Please give a short description of your significant work history, with a focus on what skills you took away from each position. *
Your answer
3-c. Describe your interest in learning the Teamwork Method: *
Your answer
3-d. Please describe your familiarity with NVC, Nonviolent Communication (if any):
Your answer
4. References:
Please give us the contact information for a few people who know your work either as clients or colleagues:
4-a: Current Client or Colleague (Name, Email, Phone & Relationship:) *
Your answer
4-b: Current Client or Colleague (Name, Email, Phone & Relationship:)
Your answer
4-c: Personal Reference (Name, Email, Phone & Relationship:) *
Your answer
4-d: Personal Reference (Name, Email, Phone & Relationship:) *
Your answer
Thank you for your interest in our program, and for the time and effort you've put into this application. We suggest you buy our book, Loving Conflict (maxrivers.net) and read the first 3 chapters, at a minimum. We'll be in touch shortly to set up a Zoom interview with Max.
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