www.pricemediation.org

Price Mediation is a 501(c)(3) organization, Federal Tax ID 88-2364932

Please complete this form if you are interested in volunteering with Price Mediation. Thank you!

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

Province/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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What is your highest level of education?

Associate or Paralegal Degree

Bachelor's Degree

What subject area?

Master's Degree

What subject area?

Doctoral Degree

What subject area?

Juris Doctorate

Other

Please explain

Have you completed Basic Mediation Training?

Yes

Name of Organization Completion Date

Anticipated Completion Date

Do you have Advanced Mediation Training in Family Law?

Yes

Name of Organization Number of Training Hours Completion Date

Anticipated Completion Date

Are you a member of the California Bar?

Yes

What is your bar number? What is your area of expertise?

How many years experience do you have in family law mediation?

1 to 2

3 to 5

5 to 10

More than 10

Contact information

What is your highest level of education?

Have you completed Basic Mediation Training?

Do you have Advanced Mediation Training in Family Law?

Are you a member of the California Bar?

How many years experience do you have in family law mediation?

Why do you want to work with Price Mediation?

How many hours per month can you commit to volunteering with Price Mediation?

How did you hear about Price Mediation?