Application for training scholarship of the Midlands Mediation Center’s Introduction to Mediation Course
Please provide the name of the college or educational institutes attended for your undergraduate and/or graduate degrees. Indicate degree earned. Ex: Columbia College B.A. Religion If educational attainment is included in your resume, please type (SEE RESUME) (If none, please indicate “NONE”)
Please list the organizations and type of support provided to the organization within the last 5 years. (if none, please indicate “NONE”) Ex: Harvest Hope Food Bank – Shelf Stocker – 2017-2020
Click or drag files to this area to upload. You can upload up to 5 files.
Please provide your resume and copies of any certificates received from mediation training
My signature below indicates my commitment for this scholarship opportunity:

• To attend and participate in all sessions of the Mediation Training.
• To serve as a volunteer co-mediator or mediator for at least 24 mediation sessions in the 12 months following the Mediation training.
• To abide by South Carolina’s ADR Rules and Standards of Conduct for Mediators.
• To be responsive to the MMC staff’s scheduling requests.
• To participate in post-mediation debriefing sessions and continuing education opportunities.
• To promote the services of Midlands Mediation Center as appropriate within my practice and recruit potential new volunteer mediators.

My signature below also confirms my consent for my name and photograph/videos including me to be used by the MMC for promotional purposes through any medium.