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Mediator Application - Official Federal Forms

Mediator Application Form. This is a national form and can be used in DC Circuit Court Of Appeals Circuit Court Of Appeals .
 Fillable pdf Last Modified 1/7/2014
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UNITED STATES COURT OF APPEALS FOR THE DISTRICT OF COLUMBIA CIRCUIT MEDIATOR APPLICATION Eligibility requirements: The Appellate Mediation Program of the D.C. Circuit seeks volunteer mediators who are distinguished senior members of the bar, academicians from local law schools, or attorneys with broad experience mediating complex civil cases. Name: Business address: Daytime phone number: Specific areas of legal expertise: Jurisdictions in which you are admitted to the bar, with dates of admission: Jurisdiction Year of Admission Year of admission to the bar of the U.S. Court of Appeals for the District of Columbia Circuit: Not admitted: Previous mediation experience (if any): The Mediation Program of the U.S. Courts of the D.C. Circuit E. Prettyman U.S. Courthouse · 333 Constitution Avenue, N.W. · Room 4726 · Washington, D.C. 20001 Tel 202-216 3550 · Fax 202-273 0331 American LegalNet, Inc. www.FormsWorkFlow.com USCA Mediator Application Page 2 of 2 Previous mediation training (if any), including trainers and approximate training dates: Negotiation experience: Other relevant experience or skills: Why are you interested in becoming a mediator for the U.S.Court of Appeals? I agree, if selected as an appellate mediator, to attend all sessions of the Court's Mediator Training, and to mediate two to four cases a year if called upon to do so. (Typed Signature Acceptable) Please attach a copy of your resume to this application and submit both documents by clicking here , clicking h emailing them to mediation@cadc.uscourts.gov, or by faxing or mailing them to Amy Wind, Chief Circuit Mediator, at the address below. The Mediation Program of the U.S. Courts of the D.C. Circuit E. Prettyman U.S. Courthouse · 333 Constitution Avenue, N.W. · Room 4726 · Washington, D.C. 20001 Tel 202-216 3550 · Fax 202-273 0331 June 2013 American LegalNet, Inc. www.FormsWorkFlow.com
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