Basic Mediation Training Application
The Mediation Training will be held January 21-22 & 28-29, 2022 from 9:00am - 3:30pm via Zoom led by Diane Petropulos.
Training Fee: $175.00

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

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

Payment can be sent via check or you can call in a credit card payment. Contact information below

808-885-5525
PO Box 7020
Kamuela, HI 96743

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Name *
Birthdate *
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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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