Contact

Joshua Jacks, Director
Metropolitan Mediation Services
(617) 241-0300
joshua.jacks@metromediation.org

MMS Program of Supervised/Mentored Mediator Placement

Thank you for your interest in strengthening your mediation skills. Questions as you complete this application? Please call Director Joshua Jacks at (617) 241-0300.

* Required information

WHAT WOULD YOU LIKE TO DO TODAY?

  • *

    (please choose one)

  • ______________________

  • If you have already completed this application and are ONLY here to make a payment, please complete the next four fields (name and email) then SKIP TO the fee-related sections.

About you:

  • *
  • *
  • *
  • *
  • Fee

    Type Fee
    $750.00
    $100.00
    $650.00
    No Charge

About your core mediation training:

  • Where did you receive your prior course of mediation training?

  •  characters remaining
  • Total number of training hours in your prior course:

  • If you received your prior mediator training from MMS, we will contact applicants if we need further information.

  • If you received your prior mediator training from a source other than MMS, you must also submit the following 4 items before your application will be considered:

  • 1) A completed certification of training form linked here https://www.dropbox.com/s/52djmsa4u7zaave/TrainMentorCert.pdf?dl=0 (only the training portion is required), and

  • 2) Your certificate of training issued at the time of the training, and

  • 3) The syllabus/agenda from your mediator training, and

  • 4) A resume/curriculum vitae if you have one. If you do not have one, a written summary (2 pages or less) of your experience and interest.

About any additional mediation training:

  • Have you already taken part in a mentored/supervised mediation experience, too?

  • If you answered "No," please skip to the "Last Questions!" section below. If you answered "Yes," please continue here...

  • _____________________

  •  characters remaining

Last questions!

  •  characters remaining
  • How did you learn about MetroMediation's training programs?

Other Amounts

Item Qty. Max Limit Price

By prior arrangement with MetroMediation

Please fill in the dollar amount of your payment in the "quantity" box. (For example, to pay $500 now, type "500" in the box.)

99999 $1.00 each
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    MMS/BCMHC
    MMS Supervised/Mentored Placement
    Metropolitan Mediation Services
    40 Webster Place
    Brookline, MA 02445-7937

Payment Summary


Yes, I would like to receive your email updates

Register Go back to Event Page