| COMMUNITY MEDIATION UPPER SHORE | |||
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Basic
Mediation Trainings consist of the following: 50 hours of initial classroom training Observation of two mediations Co-mediation of at least two mediations A personal evaluation/strategy session 5 hours of follow-up training The mediation training CMUS provides is very experiential with a lot of role playing and interactive exercises. We ask that you be comfortable with this type of training model before signing up for this course. CMUS training usually
takes place over three consecutive weekends (Saturdays and Sundays) from
approximately As soon as dates for the training have been identified we will send you a copy of the training schedule. At that time you will be asked to come in for an interview with the CMUS Executive Director or to a group preliminary meeting to help us both assess your interest and commitment to becoming a volunteer mediator with CMUS. After completing the apprenticeship, mediators are asked to commit to volunteer at least 50 hours for a year and to attend at least 4 hours of in-service training over the year (usually mediator potlucks scheduled on a weekday evening). Additional training available for mediators includes: Parenting plans, Custody and Visitation; Parent-Teen; Large Group Facilitation; Developing Quality Assurance Systems; Outreach Strategies, etc. Some members of our mediation staff have taken some of these additional training sessions.
Application
for Volunteer Mediator Name:____________________________________________Day
Phone_________________ Address:___________________________________________Eve
Phone_________________ City_______________________________________ZIP___________ Ethnicity
(optional)____________________ Sex__________________
Age Group___________ Why
do you want to become a mediator? What
skills do you have which you think would make you a good mediator? Community Mediation
Upper Shore is a community-based program.
What experience do you have which demonstrates your commitment to
community? What
other type of volunteering have you done?
What was the time commitment to that work? What
times are you available to mediate?
(Please remember you need approximately 3 hours per session). VOLUNTEER DATA FORM This
form is designed to help both the Center and you derive the greatest
benefit from your willingness to serve as a volunteer.
As much as possible, we want to be able to match your interest,
skills, and availability with the many ways you can help the Center
serve the community. Information
about your mediation-related training and experience, as well as other
volunteer activities, will enable us to develop and maintain an
automated database that will help you stay “connected” to the
Center. Should
any of the information on this form change, please notify the Center.
Date Completed _______________ Name:
_________________________________ Address:
___________________________________________________________ Phone:
(h)_________________ (w)_______________ (c)_____________________ Fax:________________________
Email:__________________________________ Gender:__________Birth
Date:______________Race/Ethnicity:________________ Gender,
race and age information is optional and will only be used for mediator/
party matching purposes and grant reporting. Other
Languages:_____________________________________________________ How
did you become aware of the Center:_________________________________ ___________________________________________________________________ CHECK
LINE WHEN YOU ARE AVAILABLE FOR VOLUNTEERING AT CMUS
Sunday Monday
Tuesday Wednesday
Thursday Friday
Saturday Morning
______ ______
______ _______
______ _____
_______
Afternoon
______ ______
______ _______
______ _____
_______
Evening
______ ______
______ _______
______ _____
_______
Comments:
__________________________________________________________ ____________________________________________________________________ MEDIATION
RELATED TRAINING THROUGH CMUS (indicate date completed if known) Basic
Mediation I
____________
Intake
___________ Basic
Mediation II
____________
Community Outreach
___________ Domestic
Mediation ____________
Anger Management
___________ No-Lose
Resolution ____________
Effectiveness Training ___________ Speaker’s
Bureau
____________
Other
___________ Mediation
Training and Experience: ______________________________________________________________________ ______________________________________________________________________ VOLUNTEER
OPPORTUNITIES AT CMUS THAT INTEREST YOU (Check all that apply. Items
with asterisk require training) Bookkeeping
_________________________________________________________ Community
Outreach/Speaker’s Bureau*
_________________________________ Developing
Resource Lists _____________________________________________ Word
Processing
___________________________________________________ Newsletter
_________________________________________________________ Assist
with Training ___________________________________________________ Intake*
_______________________________________________________________ Mediator*
_________________________________________________________ Grant
Writing _________________________________________________________ Fundraising
_________________________________________________________ Bulk
Mailing _________________________________________________________ Assist
with Computer ___________________________________________________ REFERENCES:
(Past
employers or other non-family volunteer references whom we may contact) Name
of Contact
Position
Date
Phone Number _________________
_____________
__________
_________________ _________________
_____________
__________
_________________ AFFILIATIONS:
(Please list any
other organizations/groups/causes/etc) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ LEVEL
OF FORMAL EDUCATION
: _____________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ This
form will be used to keep track of all volunteer information.
As a volunteer we encourage you to notify us of any changes in
the above information. Thank
you for your time and future contributions to the Center. |