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Community Mediation Upper Shore

P.O. Box  692

Chestertown , MD 21620

cvcms@verizon.net

 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 9:00 a.m. to 5:00 p.m. each day.  A potential trainee must commit to the entire training to enroll. 

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).

COMMUNITY MEDIATION UPPER SHORE

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.