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Practicum Application
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This information is not required, but helps us create a balanced group of mediators.
Age
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Please explain your interest in CMS
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Provide a summary of work and volunteer experience including any skills/experience that relate to your interests above (please attach resume).
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Are you
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employed
self-employed
job searching
home employed
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other
If other please explain
Please describe your flexibility and availability (example: day/night hours, days of the week, times of the year)
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Please describe your experience working with people of differing socio-economic, age, cultural, racial, religious, sexual orientation and special interest backgrounds
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Please describe any training experience relevant to conflict resolution
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Please list two references
Reference One
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Reference Two
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Do you have any special needs (physical, dietary, learning style, etc.)
Additional comments
A fee of $300 is due prior to the start of the program.
Application Fee
Price:
$300.00
2017 Practicum Application Fee
Total
$0.00
Payment Method
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If paying by check, please bring in payment before training or mail to:
Community Mediation Services
300 E 17th St
Vancouver, WA 98663
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