Volunteer Application Name Day Phone Address Evening Phone City Zip Code Email Address Why do you want to become a mediator? What skills do you have which you think would make you a good mediator? The Mediation and Conflict Resolution Ceneter, Inc. is a community-based program. What experience do you have which demonstrates your commitment to community? How do you think mediation benefits the community? Please list the volunteer organizations and/or activities with which you have been involved. Please also indicate the approximate dates, and amout of time commitment. What do you hope to gain from your association with MCRC, Inc? Mediation sessions normally take about 4 hours each including travel, co-mediator coordination and debriefing. Please list the days and times (i.e., morning, afternoon, evening) and frequency that would be most convenient for you and to which you expect to be able to commit, and include the towns or areas of the county you could serve: Number Submit Your Application
