MWI Court Mediation Program Application

TO: MWI Court Mediation Panel Applicant

FROM: Clarice Parsons, Mediation Program Manager

RE: MWI Court Mediation Program Application Form

Thank you for your interest in mediating with MWI’s Court Program. Please complete the form below and Clarice will respond to your application in two business days.

MWI Court Mediation Program Application

1. What is your name?
2. Please provide your email address.
3. Please provide your primary phone number.
4. Would you like to share your birthday? ( Month and Day Only)
5. Please describe your background or profession in one or two sentences.
6. Why do you want to serve on MWI's Court Mediation Program?
7. Have you been trained as a mediator?
- Yes
- No
8. If yes, where were you trained?
- MWI
- Other
9. If you answered other, please state company/contact information of the training provider and the duration of your basic mediation training.
10. Have you ever served as a mediator? If so, please summarize your experience below.
11. What is your understanding of the role of a mediator?
12. Please list the five main principles of mediation below.
13. Please respond to the following mediation challenge: Party B is suing Party A in Small Claims court. Party A has an attorney, Party B is Pro Se (representing self without an attorney). Party B is asking you for legal advice about whether they can get treble damages for the small claims case, and if they should go to trial as opposed to trying mediation because they are worried about Party A having an attorney. What would you do?
14. What is your comfort level utilizing and managing Zoom meetings?
15. In what settings are you interested in mediating?
- Select All
- Virtual (Zoom/Phone)
- In-person (post-pandemic)
16. What questions do you have about joining MWI’s Trial Court Mediation Panel?
17. If you are selected to join the panel, how often would you be interested in mediating?
18. Is there anything else you would like us to know?

MWI Court Mediation Program Application

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