Application For Mediator Certification {ADR-1000A}

FORM ADR 1000A - APPLICATION FOR MEDIATOR CERTIFICATION. This form is used in Virginia to apply for certification as a court-referred mediator through the Office of the Executive Secretary of the Supreme Court of Virginia. This form collects detailed information about the applicant’s background, including education, professional affiliations, and prior mediation experience or certifications. Applicants must specify the level(s) of certification sought, such as General District Court, Juvenile and Domestic Relations, or Circuit Court (civil or family), and submit required supporting documentation. The application also includes disclosure questions regarding criminal history and professional discipline, along with certification statements affirming compliance with ethical standards. A processing fee is required, and approved applicants are authorized to mediate court-referred cases in Virginia. www.FormsWorkflow.com