Registration/Notification List for MMS Training

What does it take to become a mediator?  See our Mediator Certification and Career FAQ

 

You can register for our Mediation Training Programs by filling out the form below. 

FOR MEDIATOR TRAINING APPLICANTS: IF YOU CANNOT USE THE ONLINE APPLICATION, BELOW click this link for a printable  Brochure and application in Adobe Acrobat (pdf.) format

 

Submitting the completed electronic form below will hold your place for two weeks, 

pending receipt of your $100 deposit payment.

 

If you do not receive acknowledgement of your registration within 2 business days, 

please call (617) 241-0300  to confirm that your registration has been received.

 

You can register for our Training Programs by filling out the form below. 

 

FOR MEDIATOR TRAINING APPLICANTS:

  • What does it take to become a professional mediator?  See our Mediator Certification and Career FAQ

  •  IF YOU CANNOT USE THE ONLINE APPLICATION, BELOW click this link for a printable  Brochure and application in Adobe Acrobat (pdf.) format

  • Submitting the completed electronic form below will hold your place for two weeks,  pending receipt of your $100 deposit payment.

  • If you do not receive acknowledgement of your registration within 2 business days,  please call (617) 241-0300  to confirm that your registration has been received.

 

Please provide the following information

 * indicates required responses.

* Activity (choose one):   
Enroll me in the Oct 18-28, 2017  Mediator Training
Add me to your NOTIFICATION LIST for mediator trainings

* First Name

* Last Name

Tell us about you: Your Interests, Profession, Organization...

Street Address

Street Address 2

City

State

Zip

 

Eve. Phone

Day Phone

Mobile

* Email

 

Professional Continuing Education credits for Social Workers, Educators, or Mental Health Counselors:  Choose one: I am seeking...

  Social Worker CEUs  
 Educator PDPs  
 Licensed Mental Health Counselor CE 
 I am not seeking CEU/PDPs

 

How did you learn about MMS' training programs?  


Please Provide Details (publication name, person or org. who made referral, etc.)


Offer Code
(if any) from your brochure or other information source.


What language(s) do you speak?  Other Questions Comments

If you do not receive acknowledgement of your registration wthin 2 business days, 

please call (617) 241-0300 to confirm receipt of your registration.

This application is not complete until your non-refundable $100 deposit is received.  For the early-bird discount, the full tuition is due by the early-bird deadline.

 
 
 
 

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