Mediation Referrals 23-24

1) Fill out the referral form

2) Once we have your referral,  Jaime or Karina will contact you and work through the phases of mediation with the students.

Phase 1- M-A Mediation Coach meets with the student to understand the situation directly from the students 

Phase 2- Mediation (Mediation is agreed upon and scheduled) 

Phase 3- Post-Mediation (Mediation has occurred and agreements have been reached) 

Phase 4- Follow-up/check-in (Reserved for students who benefit from further de-escalation or conflict management tools)

3) We will note the progress of the mediation in the intervention tab on Infinite Campus. Please be mindful that the IC log might not always be accurate, as only our site staff have access to IC. Outside organizations navigate this through our wonderful secretaries! Should you want more details, you can always contact Jaime or Karina directly. 

4) Follow-up will be from the mediation team to update the closure of the mediation process. 
Email *
Student Last Name *
Student First Name *
Student ID *
Student Grade *
Other student(s) involved in conflict
First and Last Name , grade, ID # (if known)
 *
Please list the known conflict details below:  *
Would you like email updates throughout the mediation process? 
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Parents/Guardians of both parties have been notified of this mediation referral. If no, contact appropriate AVP for support. Note: Parent referral is not required for mediation.  *
Required
Requesting support from:  *
Required
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