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: *
b. Email Address: *
c. Cell Phone: *
d. Home Address:
e. Work Address: (if different)
f. Website:
2. Relationship Info:
a. Relationship Status: *
b. If in relationship, significant other's name:
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.
d. Significant Other's email:
e. Please give a short description of your significant past relationships, with a description of your understanding of what caused relationships to end:
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) *
f-2: What's Working in Current Relationship(s) *
f-3: Challenges in Current Relationship(s) *
3. Education and Work History
3-a. Relevant education or training that you had: *
3-b. Please give a short description of your significant work history, with a focus on what skills you took away from each position. *
3-c. Describe your interest in learning the Teamwork Method: *
3-d. Please describe your familiarity with NVC, Nonviolent Communication (if any):
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:) *
4-b: Current Client or Colleague (Name, Email, Phone & Relationship:)
4-c: Personal Reference (Name, Email, Phone & Relationship:) *
4-d: Personal Reference (Name, Email, Phone & Relationship:) *
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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