Scholarship Application -- CJAM Basic Mediation & Restorative Justice Training                                    
The Community Justice & Mediation Center (CJAM) is committed to building a diverse and representative volunteer mediator team and to offering affordable mediation and restorative justice training.  If you need financial assistance to participate in the training, please complete this application form.  

We have a limited funds available so we prioritize those who want to volunteer with us once the training is completed. Once your application is reviewed we will contact you. If you have additional questions, please contact us at training@cjamcenter.org or call 812-336-8677.

Thanks for your interest!
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Date *
First Name *
Last Name *
Email *
Address (Street, City, State, Zip) *
Phone Number(s) *
D.O.B. *
Gender Identity/Expression
Pronouns
Race/Ethnicity
If Applicable: Occupation & Employer (If student, please list school/major and anticipated graduation date.)
How did you hear about this training? *
How long do you plan to be in the Bloomington area? *
Have you had previous conflict resolution training *
Required
If yes, please describe previous mediation/conflict resolution training.
For which training session are you applying? *
Required
Reason for attending training: *
Upon completion of the training, it is our hope that you may be interested in volunteering with CJAM.  We have both in-person (IP) and virtual (V) opportunities. Time commitments are individualized to each volunteer.  Please check all options that you would like to consider:*

 *
Required
We have a limited number of scholarships available. How much are you able to contribute to the cost of the training? (Cost: $300) *
Additional comments, including any accommodation needed:
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