International Professional Mediation Coach Training Course (June 2019) - Application Form
Name in Chinese *
(Must be the same as shown on HKID Card)
Your answer
Name in English *
(Must be the same as shown on HKID Card)
Your answer
Other Name
(e.g. John)
Your answer
International Accredited Professional Mediator Number of MHJMC/IDRRMI (if applicable)
(e.g. IAPM9999)
Your answer
Accredited Mediator Number of HKMC (if applicable)
(e.g. AM9999)
Your answer
Contact Number *
Your answer
Email Address *
(Confirmation email will only be sent to this email address)
Your answer
Correspondence Address *
(Certificate will only be sent to this correspondence address)
Your answer
Payment Methods *
Remarks
Your answer
Terms and Conditions
A. Selection will be made on the basis of applicants' mediation experience and relevant training experience.

B. Registration must be made by returning the completed online application form via google link and sending CV and the crossed-cheque or copy of bank-in slip to 21/F, Success Commercial Building, 245-251 Hennessy Road, Wan Chai, Hong Kong on or before 12:00 noon, 28 May 2019 . Confirmation will be notified by email upon successful application on or before 29 May 2019.

C. If you do not receive any email confirmation from the Secretariat on or after 29 May 2019, your name will be wait-listed. Your submitted cheque will be voided subsequently by the Secretariat if you have not been assigned a place in the captioned course or If your course fee was made by bank transfer, a cheque will be issued to you as the payment refund .

D. Under the requirement of HKMAAL, a qualified Coach should have conducted at a minimum of 5 mediation cases or 50 mediation hours as a mediator within 3 years prior to the date of course approval.

E. Participants must sign in and sign out. Participants who are late for more than 20 minutes or leave earlier of each session will not be qualified for the completion of MHJMC's & HKMC's CPD Points in respective session.

F. If you are not able to attend the captioned course after the receipt of the confirmation email, you are required to inform the Secretariat as soon as you are aware of unavailability on/ before the course date by email. No refund will be made after confirmation.

G. The assessment session may be video recorded for sole use of performance evaluation.

H. If typhoon signal no. 8 or above or black rainstorm warning signals is hoisted and not lowered by 2 hours before the lesson start, the lesson will be postponed or cancelled. Rescheduled date/ time/ venue will be announced in due course.

I. In case of any disputes, Mainland-Hong Kong Joint Mediation Center reserves the right to make final decisions.

J. The course is subject to change at any time without liability.

Declaration of Applicant *
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