Mediation Training Sign Up Form

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Susquehanna Valley Mediation, Inc. (SVM) provides mediation services to individuals in Snyder, Union and Northumberland Counties. Mediation offers people the chance to come together to talk things out, work out agreements or decide what their next steps will be. Commonly, cases include:

Separated or divorced parents discussing how to share responsibility for their children
Families involved with the child welfare system
Adult children discussing aging parents
Neighborhood disputes
Coworkers talking through difficulties
Individuals and families impacted by incarceration, people returning back to the community and/or family after incarceration
Landlord/Tenant disputes, eviction prevention mediation

SVM mediators help people have difficult conversations on participants’ own terms. Our training is based on the transformative framework of conflict intervention, first articulated in The Promise of Mediation by Robert A. Baruch Bush and Joseph P. Folger.

Mediators learn to:

Identify constructive and destructive conflict.
Understand destructive conflict as a crisis in human interaction
Listen well and deeply to what people are saying
Reflect and summarize what they hear, helping people hear themselves and each other
Facilitate conversation for those caught in conflict to help them make the best decisions they can, given the situation they face and the perspectives of others involved.

Mediators make a commitment to volunteer for at least two years after completing their training.

Being an active mediator

To remain a mediator in good standing with SVM, the following ongoing requirements must be met:

A mediator should be willing to volunteer for one to two mediation assignments each month.
A mediator must participate in continuing education, as available through the center.
Advanced training is offered regularly, and mediators are encouraged to participate.

SVM’s volunteers participate in an initial 40-hour training. The training is primarily in-person with some virtual sessions included.

After you successfully complete mediator training, you will be asked to observe at least two mediations, then you will be paired with an experienced mentor mediator receive additional coaching, co-mediation and other support. Currently, most mediations and family meetings are being held on Zoom. We will modify as community conditions evolve.

Email *

Name *

Preferred phone number *

Address *

How long have you lived at this address? *

If you're employed, what is your occupation? *

Who is your current employer? (or last employer) *

Job title and responsibilities:
*

Have you every attended completed any mediation training in the past? *

Yes

Have you ever used mediation personally?
*

Yes

If you answered yes to the question above, what was your experience? (optional)

What kind of disputes do you believe you would like to mediate?
*

Child and parent visitation

Other family disputes

Neighborhood disputes

School, Child, Parent

Child welfare

Divorce and custody

Elder care

Housing/Landlord-Tenant

Discrimination

Prison Re-entry

Required

SVM also offers other services consistent with our mission. Please indicate your potential interest in being involved with any of the following:
*

Peer Mediation Training at area middle and/or high schools

Group facilitation of child welfare cases (Crisis/Rapid Response Family Meetings)

Kids First Program (teaches parents about the impact of parental conflict on children)

Responding to conflict training (teaches people and groups ways to apply knowledge used in mediation to self-manage their conflict more constructively)

Dialogues and workshops on community-level conflicts and desire for dialogue

Required

Describe ONE situation in which you were called on to resolve a dispute, but not as a mediator. It might have occurred at work, home, school or in the community.
*

What skills and abilities do you have that would enhance your ability as a volunteer mediator?
*

What, if any, languages other than English do you speak?
*

Please list any volunteer work and civic organizations in which you’ve been active:

SVM mediators are required to attend a 40-hour training that is scheduled over two weekends. The initial training is followed by an apprenticeship which includes practice sessions and observations. Can you commit to the training schedule?

Yes

Clear selection

What hours would you generally prefer to mediate?
*

Weekdays 9am-5pm

Weekdays 6pm-9pm

Weekends 9am-5pm

Required

Please share any information that you would like us to know in order to provide you a good experience as a trainee and mediator:

Have you ever been found to be a perpetrator of child abuse?
*

Yes

If yes, explain:

I certify that the facts contained in this application are true and complete to the best of my knowledge. Should I be engaged as a mediator by Susquehanna Valley Mediation, Inc., any misrepresentation or false statement contained herein, or omission of information that I was requested to provide in this application, may be considered cause for termination of my services as a center volunteer. I authorize the center to conduct any criminal background and child abuse registry checks that may be a prerequisite to the assignment of certain types of cases to me as a mediator, and will cooperate with the center by completing any documents necessary for such checks.
*

I agree

I do not agree

Required

Today's date: *

YYYY

Send me a copy of my responses.

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