Calm

Personal Information

Full Name (Accredited Mediator): *

ID Number: *

Gender: *

Email Address: *

Mobile Number: *

City: *

Website Address:

Short Bio: *

Mediation Type: * In Person Online Both In Person & Online

Upload Profile Photo

Allowed: jpg, jpeg, png, gif, webp

Maximum allowed size per file is 3.00 MB Maximum total allowed file size is 4.00 MB Maximum 1 file is allowed

Certificate of good conduct:

Max 5 documents, 5 MB each.

Allowed: pdf, doc, docx, txt, xls, xlsx
Label:

Maximum file size: 2mb

Police Clearance

Max 5 documents, 5 MB each.

Allowed: pdf, doc, docx, txt, xls, xlsx
Label:

Updated CV

Max 5 documents, 5 MB each.

Allowed: pdf, doc, docx, txt, xls, xlsx
Label:

Maximum file size: 2mb

Professional Information

Profession: *

Are you an attorney, Dr, Engineer etc

Qualifications:List all your Qualifications

Mediation Specialty: * Family Labour Financial (Credit-Banking-Insolvency-Insurance etc) Commercial Construction Property Traditional Personal Injury Other

Other:

Have you completed the required Training? Yes No

Mediation Training Provider: *

Training Certificate: *

Max 5 documents, 5 MB each. At least 1 document required; additional documents are optional.

Allowed: pdf, doc, docx, txt, xls, xlsx
Label:

Min 40hr Training and Assessment

Recognized Mediation Organization: *

What association do you belong to?

Membership No (if applicable)

Able to function as: * Sole Mediator Co-Mediator Observer Mediator

Years Accredited as a Mediator: *

Number of completed Mediations: *Number of completed Mediations

Monthly Mediation Capacity: *How many matters can you handle per month?

Language:

Member Fee Structure

Fee Per Hour:

Financial administration: *Calm Resolve offers the facility to manage the invoicing and collecting of fees, from the parties, on your behalf. We charge a 15% surcharge of all fees invoiced for this service.

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