Last updated: 4/27/2016
Civil Mediator Application
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Description
MEDIATOR PANEL APPLICATION. This form is issued by the Superior Court of California, County of Fresno – Alternative Dispute Resolution (ADR) Department for individuals seeking inclusion on the court’s Mediator Panel. Applicants must provide detailed professional and educational background information, including name, contact details, employment, education, and mediation training and experience (institutions, programs, and number of mediations conducted within the past three years). Page two of the form requests information about professional affiliations with dispute resolution organizations, areas of expertise (such as business, construction, employment, healthcare, personal injury, real estate, and others), and any foreign languages the applicant can use to conduct mediations. Applicants must also provide details of their insurance coverage, reimbursement rate, and any other relevant professional information. The application concludes with a certification and signature section, confirming that all information is true and that the applicant agrees to comply with Court Standards of Professional Conduct. www.FormsWorkflow.com
