Amador — Mediator Application

Source: https://amador.courts.ca.gov/system/files/mediatorapplication_6-2-09.pdf

Amador and Calaveras Superior Courts

CIVIL LITIGATION MEDIATOR APPLICATION

Attorney Name: State Bar No.: Firm / Business Name: Mailing address:

Message telephone:

Please provide the following information:

1. I have 5 or more years of experience in the following areas of California law and wish to act as a mediator for the following types of cases:

[ ] Personal Injury [ ] Contracts

[ ] Real Estate Transactions [ ] Construction Defects

[ ] Quite Title [ ] Professional Negligence

[ ] Partnership / Agency [ ] Other Civil Litigation

2. […] I have completed a professional mediation training course provided by _____________ ________________________________________________________ in year ____________. (If you have attended more than one training please list the most recent training attended.) If you have not received professional training, but have substantial experience as a mediation neutral you may qualify, please answer the question below.

3. I have acted as a paid mediation neutral in approximately _______ number of civil cases in which an action was pending before a court of this state.

4. [ ] I am willing to attend and participate in a court orientation program for civil mediation neutrals.

Dated: __________ ___________________________________________ Applicant signature

CIVIL LITIGATION MEDIATOR APPLICATION -(Rev. 06/15/06)-CIV-099