Mentor Application Name First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please either attach your resume (below) or list following 1: ADR related trainings received, 2: ADR related work or volunteer Experience, 3: Your education background/degreesResume (PDF)Accepted file types: pdf.Are you currently a member of the Conflict Resolution MN or the ADR Section of the Minnesota State Bar Association?CRMADR SectionBothNeitherIf No, to be considered for the CRM Mentorship Program, all applicants will be asked to be current CRM members or ADR Section MembersPlease indicate the top 5 areas of interest/areas of ADR mentorship you are most qualified to be a mentor in (#1 being the most important and #5 being least important)#1Mediator - FacilitativeMediator - EvaluativeMediator - TransformativeMediator - CommunityMediator - FamilyMediator - CivilMediator - Peer MediationMediator - CirclesMediator - ConferencesArbitrator - ConstructionArbitrator - ConsumerArbitrator - EmploymentArbitrator - Arbitration PanelsArbitrator - Court AppointedRestorative Practices - CirclesRestorative Practices - ConferencesRestorative Practices - Family GroupsRestorative Practices - CourtsRestorative Practices - SchoolsRestorative Practices - CommunityOther ADR Practices - Parent ExpeditorOther ADR Practices - Joint Neutral/Fact FindingOther ADR Practices - Conflict CoacingCDR/Process Design - State or Local GovernmentCDR/Process Design - Workplace/EmploymentCDR/Process Design - Business/CommercialCDR/Process Design - Public PolicyOther#2Mediator - FacilitativeMediator - EvaluativeMediator - TransformativeMediator - CommunityMediator - FamilyMediator - CivilMediator - Peer MediationMediator - CirclesMediator - ConferencesArbitrator - ConstructionArbitrator - ConsumerArbitrator - EmploymentArbitrator - Arbitration PanelsArbitrator - Court AppointedRestorative Practices - CirclesRestorative Practices - ConferencesRestorative Practices - Family GroupsRestorative Practices - CourtsRestorative Practices - SchoolsRestorative Practices - CommunityOther ADR Practices - Parent ExpeditorOther ADR Practices - Joint Neutral/Fact FindingOther ADR Practices - Conflict CoacingCDR/Process Design - State or Local GovernmentCDR/Process Design - Workplace/EmploymentCDR/Process Design - Business/CommercialCDR/Process Design - Public PolicyOtherOther#3Mediator - FacilitativeMediator - EvaluativeMediator - TransformativeMediator - CommunityMediator - FamilyMediator - CivilMediator - Peer MediationMediator - CirclesMediator - ConferencesArbitrator - ConstructionArbitrator - ConsumerArbitrator - EmploymentArbitrator - Arbitration PanelsArbitrator - Court AppointedRestorative Practices - CirclesRestorative Practices - ConferencesRestorative Practices - Family GroupsRestorative Practices - CourtsRestorative Practices - SchoolsRestorative Practices - CommunityOther ADR Practices - Parent ExpeditorOther ADR Practices - Joint Neutral/Fact FindingOther ADR Practices - Conflict CoacingCDR/Process Design - State or Local GovernmentCDR/Process Design - Workplace/EmploymentCDR/Process Design - Business/CommercialCDR/Process Design - Public PolicyOtherOther#4Mediator - FacilitativeMediator - EvaluativeMediator - TransformativeMediator - CommunityMediator - FamilyMediator - CivilMediator - Peer MediationMediator - CirclesMediator - ConferencesArbitrator - ConstructionArbitrator - ConsumerArbitrator - EmploymentArbitrator - Arbitration PanelsArbitrator - Court AppointedRestorative Practices - CirclesRestorative Practices - ConferencesRestorative Practices - Family GroupsRestorative Practices - CourtsRestorative Practices - SchoolsRestorative Practices - CommunityOther ADR Practices - Parent ExpeditorOther ADR Practices - Joint Neutral/Fact FindingOther ADR Practices - Conflict CoacingCDR/Process Design - State or Local GovernmentCDR/Process Design - Workplace/EmploymentCDR/Process Design - Business/CommercialCDR/Process Design - Public PolicyOtherOther#5Mediator - FacilitativeMediator - EvaluativeMediator - TransformativeMediator - CommunityMediator - FamilyMediator - CivilMediator - Peer MediationMediator - CirclesMediator - ConferencesArbitrator - ConstructionArbitrator - ConsumerArbitrator - EmploymentArbitrator - Arbitration PanelsArbitrator - Court AppointedRestorative Practices - CirclesRestorative Practices - ConferencesRestorative Practices - Family GroupsRestorative Practices - CourtsRestorative Practices - SchoolsRestorative Practices - CommunityOther ADR Practices - Parent ExpeditorOther ADR Practices - Joint Neutral/Fact FindingOther ADR Practices - Conflict CoacingCDR/Process Design - State or Local GovernmentCDR/Process Design - Workplace/EmploymentCDR/Process Design - Business/CommercialCDR/Process Design - Public PolicyOtherOtherPlease check the key topics you would be most interested in exploring with a mentee. Ethics & Trends in ADR Building and ADR business/practice Coaching Skill Building Informal Mentoring Case Analysis Informational Interviews Shadowing Serving as an assistant/project support Other OtherCAPTCHA