Home
Our Services
Community Conversations
Conflict Coaching
Conflict Mangement Workshop
Facilitation / Organizational Development
Family Mediation
IEP / Attendance Mediation
Neighborhood Mediation
What to Expect
About Us
Join Us
Volunteer
Careers
LFT 5k & Dance-a-Thon
2023 LFT 5k
Dance-a-Thon 2023
Annual 5k Results 2022
Race Results 2023
LFT 2023 Pictures
Community Events
Donate
Mediators Login
*
Indicates required field
Name:
*
First
Last
Email:
*
Phone Number:
*
Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact Name and Phone Number:
*
Ethnicity:
*
Gender:
*
Age:
*
Date of Birth:
*
Why do you want to become a volunteer? What are your goals/expectations?
*
What skills do you have that you think would make you a good volunteer? Please describe any education, employment or life experiences that might be of value.
*
The Community Mediation Center of St. Mary’s County (CMCSMC) is a community-based program. What experience do you have which demonstrates your commitment to the community?
*
What is your understanding of the role of a volunteer at the Community Mediation Center?
*
What other volunteer activities have you participated in over the past 12–18 months? Why did you choose these organizations or activities? What was the time commitment to that work, and are you still involved in it?
*
How did you hear about the Center and our opportunities for volunteering?
*
Do you have any special skills that may be helpful in your volunteer role, such as proficiency in another language, computer skills, etc.?
*
Have you ever participated in a mediation? If so, please describe your experience.
*
What food best represents conflict to you, and why?
*
Are you currently:
*
Employed Full-time
Retired
Student under 18 years old.
Student over 18 years old.
Other
If you have answered other from the previous question, please specify.
*
What times are you available to volunteer? Please indicate your availability below:
Morning:
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Afternoon:
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Evening:
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please provide three personal and/or professional references.
Reference 1 Name:
*
First
Last
Reference 1 Phone Number:
*
Reference 1 Email:
*
Reference 1 Organization:
*
Reference 1 Association/Relation:
*
Reference 2 Name:
*
First
Last
Reference 2 Phone Number:
*
Reference 2 Email:
*
Reference 2 Organization:
*
Reference 2 Association/Relation:
*
Reference 3 Name:
*
First
Last
Reference 3 Phone Number:
*
Reference 3 Email:
*
Reference 3 Organization:
*
Reference 3 Association/Relation:
*
Is there anything else you would like to share with us about yourself?
*
INTERVIEW: An interview is also required.
Please, your initials below:
I will attend the 2-hour training. If an emergency arises and I miss any part of the training, I understand that I may not receive credit for completing the course.
*
I will volunteer 20 hours a year for 2 years.
*
As a volunteer, I will keep confidentiality of all personal information pertaining to clients and mediation partners.
*
Volunteer Commitment Statement:
I HAVE READ AND UNDERSTAND THE CONTENTS OF THE ENTIRE VOLUNTEER APPLICATION TERMS AND AGREE THAT SHOULD I NOT FULFILL MY VOLUNTEER COMMITMENT TO A MINIMUM OF 20 HOUR PER YEAR FOR THE TWO YEARS FOLLOWING TRAINING. FURTHERMORE, I CONFIRM THAT ALL INFORMATION PROVIDED IS TRUTHFUL AND ACCURATE.
Signature:
*
Please type in your full name which will serve as your signature.
Date:
*
Thank you for your interest.
Submit
Home
Our Services
Community Conversations
Conflict Coaching
Conflict Mangement Workshop
Facilitation / Organizational Development
Family Mediation
IEP / Attendance Mediation
Neighborhood Mediation
What to Expect
About Us
Join Us
Volunteer
Careers
LFT 5k & Dance-a-Thon
2023 LFT 5k
Dance-a-Thon 2023
Annual 5k Results 2022
Race Results 2023
LFT 2023 Pictures
Community Events
Donate
Mediators Login
Contact Us
Make A Referral