Washington Mediation Association

How to Join

Thank you for your interest in the Washington Mediation Association.
Please print and fill out the application form, include your $50.00 annual dues payment and mail to:

Washington Mediation Association
1122 E. Pike St. PMB #1095
Seattle, WA 98122-3934.

Name:________________________________________________

Company Name:_______________________________________

Address:_______________________________________________

City:_______________ County:_______________ State:_____________

Zip:_____________

Phone (work):______________________ (home):__________________________

E-mail:______________________________

Fax:_________________________________

Web Site:__________________________________________________

Occupation:_________________________________

Please check all that apply:

___I am a private practice mediator.

___I am a volunteer mediator.

___I do mediation or conflict resolution training.

___I am interested in participating in WMA activities in my local region.

___I do not want my contact information released to vendors providing products and services to the mediation community.

___I am unable to download the mediator certification packet from the web site and would like it mailed to me.

I am available to mediate these types of cases:

__ Business __ Community __ Construction
__ Consumer __ Criminal Justice __ Divorce/family
__ Education __ Employment __ Environmental
__ Health care __ Intercultural __ Labor relations
__ Organizational __ Public policy __ Other __________________________

STANDARDS OF PRACTICE
Please read the WMA Standards of Practice for Mediators. These are the same standards approved by SPIDR, AAA, and the ABA in 1994. As a condition of membership, WMA requires written acceptance of the Association's purposes and these Standards.

Click here Standards of Practice to read them.

I have read the WMA Standards of Practice, adopted in 1997, and agree to abide by them.

Signature________________________________ Date_____________________________

Please specify any information on this form that you DO NOT want publicized on the web site:

____________________________________________________________

____________________________________________________________

____________________________________________________________

Thank You!

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