Name: General Mediator Member
SKU: 43
Price: 99.00 USD
Availability: InStock

Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Phone (Work)*
Phone (Cell)*

Education
Currently Enrolled
- Currently Enrolled
Bachelors Institution
Bachelors Degree Earned
Masters Institution
Masters Degree Earned
Doctoral Institution
Doctoral Degree Earned

Mediation Course(s) Attended
Basic Mediation Training:
Name of Training Institution: Location: Year Completed:
Advanced Mediation Training:
Name of Training Institution: Location: Year Completed:
Untitled
(Please list all training in the following format.) Name of Training Institution: Location: Year Completed:
Number of mediation cases completed*
Estimated number of hours spent mediating cases*
Do you have professional liability insurance coverage?*
Have you ever lost a previously held license or certification in any field?*
My area of mediation practice is….
(Check all that apply.)
- Commercial
- Court
- Education
- Environmental & Public Policy
- Family & Divorce
- Employment & Workplace
- Other (please type in below)
My other area of mediation practice is...

Your involvement will help us promote mediation as the most-preferred conflict resolution alternative, help us continuously develop and improve programs of value to our membership and the public and connect you to a fascinating group of like-minded peers.

Please consider signing up for one of these committees and get more involved in the success of AAM. Help us grow the AAM logo into the primary symbol of professional excellence among mediators nationwide. With your help our members will be recognized as the finest, most capable practitioners anywhere.

Committee work is a key component of AAM member engagement. Committees will advise the AAM Board of Directors, Executive Committee and staff on issues and matters central to the AAM community.
Would you be interested in joining an AAM committee?*
1. FINANCE COMMITTEE
- FINANCE COMMITTEE
This is a chance to apply your experience and energy to some fundamental tasks keeping our AAM community on solid financial ground. You will help to oversee current and future financial strategies, monitor the flow of funds in and out, help manage the plans for how to best secure the Association’s assets and keep the Board informed about the state of AAM’s financial health.
MEMBERSHIP COMMITTEE
- MEMBERSHIP COMMITTEE
This committee will address issues important to members and review membership criteria. You will also oversee credentialing, develop projects to inform the wider public about AAM and work to enhance the value of AAM membership, rewarding our current members and encouraging new members to apply.
STANDARDS & ETHICS COMMITTEE
- STANDARDS & ETHICS COMMITTEE
These committee members promote and maintain a high standard of conduct by AAM members and safeguard the significant value of AAM membership. Ensuring member compliance with the Model Standards of Conduct and resolving conduct-related complaints is an important and rewarding opportunity for you participate more in AAM.
EDUCATION & PROGRAM DEVELOPMENT
- EDUCATION & PROGRAM DEVELOPMENT
Members of this committee will cooperate in the planning and delivery of various programs to stimulate discussion and educate AAM members about current developments in our field and to improve, promote and advance the profession. Trainings, newsletters, list-serve and other avenues can give this committee a powerful impact on the life and success of AAM.

Would you be interested in joining an AAM Special Interest Collaborative?*
Commercial Collaborative
- Commercial Collaborative
This collaborative provides information and networking opportunities to mediators who work to resolve commercial and financial services disputes.
Civil/Court Collaborative
- Civil/Court Collaborative
This collaborative provides information and networking opportunities to practitioners working in Court mediation programs.
Education Collaborative
- Education Collaborative
This collaborative is targeted for those mediators working in an education context. It provides information and networking opportunities for practitioners working in preK-12th grade as well as higher education settings.
Environmental & Public Policy Collaborative
- Environmental & Public Policy Collaborative
This collaborative promotes the use of mediation in environmental and public policy disputes and provides information and networking opportunities to practitioners working in those arenas.
Family Collaborative
- Family Collaborative
This collaborative is targeted for those mediators working throughout the family mediation field. It provides information and networking opportunities for practitioners working in family, divorce, child custody, adoption, parent-teen, and elder decision-making arenas.
Employment & Workplace
- Employment & Workplace
This collaborative promotes the use of mediation in workplace and employment issues. It provides information and networking opportunities to practitioners working across the workplace arena including, but not limited to: discrimination, ADA, sexual harassment, worker’s comp, EEOC, cross cultural and government.
Other ideas for Special Interest Collaboratives are welcome.
I would recommend AAM add a collaborative for...
I am interested in joining a state/regional chapter of AAM.
- I am interested in joining a state/regional chapter of AAM.

Agreement 1*
I have reviewed the qualifications for my requested level of membership and believe that I have sufficient experience and training to meet those standards. I further understand that this determination is made by the American Association of Mediators in its sole and absolute discretion.*
Agreement 2*
I hereby attest that the above is all accurate and true and further attest that I will adhere to the American Association of Mediators Standards of Practice.*
Initials*
Full Name*
Total
$0.00

Membership Profile Information

Step 1 of 6

Education

Mediation Course(s) Attended

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