Facilitative Mediation Training Application
The Mediation Training will be held on the following dates. All sessions must be completed to receive a certificate. 

Session 1: April 6, 2024 9am-3pm in-person

Session 2: April 11, 2024 5pm-7pm Zoom

Session 3: April 18, 2024 5pm-7pm Zoom

Session 4: April 25, 2024 5pm-8pm Zoom

Session 5: April 27, 2024 9am-3pm in-person

Training Fee: $200.00

See full training details at https://whmediation.org/mediationtraining/ 

Please complete the application and submit by clicking on the submit button at the end of the form.  

To submit your payment:

Send a check to P.O. Box 7020 Kamuela, HI 96743

Call in a credit card payment by phone by calling 808-885-5525

Mahalo!
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Name *
Birthdate *
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DD
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YYYY
Phone *
Mailing Address *
Email Address *
Why are you interested in taking the mediation training? *
What experience and/or skills do you have in conflict resolution? *
Are you interested in becoming a volunteer mediator if you are selected for our apprenticeship program? Why or why  not? *
How did you hear about our training? *
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