Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Standard view
Full view
of .
Look up keyword
Like this
0 of .
Results for:
No results containing your search query
P. 1
2013 Mediation Training Registration Form

2013 Mediation Training Registration Form

|Views: 85|Likes:
Published by REALTORS®

More info:

Published by: REALTORS® on Sep 17, 2012
Copyright:Traditional Copyright: All rights reserved


Read on Scribd mobile: iPhone, iPad and Android.
See more
See less


Registration Form
Mediator/Mediation Training(available at http://www.realtor.org/mempolweb.nsf/pages/mediationtraining) The
June 26, 27, and 28, 2013
seminar will be held at the NATIONAL ASSOCIATION OF REALTORS
building inChicago, 430 N. Michigan Avenue, on the second floor. Attendees must participate in all scheduled sessions. Although prior training and/or experience in mediating real estaterelated disputes is helpful, it is not necessary to have prior training/experience to attend. All are welcome. Please completethe enclosed attendee profile. Attendees (or their sponsoring organizations) are responsible for their transportation, lodging, meals (other than thoseprovided by NAR), and incidental costs.Reservations must be made directly with the Courtyard by Marriott Magnificent Mile by calling 312-573-0800 or 800-321-2211. Please reference “
NAR’s Mediation Meeting
” to take advantage of the $184 per night room rate.Only the
fifty (50) registrations that are received will be accepted.
Information provided immediately below used for attendee roster and to contact you regarding the program.(Please print or type)
Nickname (optional):
Board or Association:
Please attach to your registration form a description of any disability requiring special services at this seminar.Completed registration forms must be accompanied by an attendee profile to optimize attendees’ learning experience, andcan be sent to the Member Policy Department, NATIONAL ASSOCIATION OF REALTORS
, 430 North Michigan Avenue,Chicago, Illinois 60611 (e-mailBbarajas@realtors.orgor fax to Bernice Barajas in the Member Policy Department at 312-254-3188).Registration fee is $150 (nonrefundable after June 4).
check enclosed, make payable to:NATIONAL ASSOCIATION OF REALTORS®, account # 01-358-321credit card payment:
MasterCard American Express Diners Club
Credit Card #
Exp. Date
Cardholder NRDS ID# (required)
Cardholder name and billing address (required)
Attendee Profile
Mediator/Mediation Training(available at http://www.realtor.org/mempolweb.nsf/pages/mediationtraining)To optimize attendee’s learning experience, this form must be submitted with the registration form. Although prior formal training in mediation and/or practical experience in mediating disputes between REALTORS
is helpful, prior training/experience is not required. All individuals affiliated with the REALTOR
family are welcome to attend.
Attendee information
Board or Association
State Association
Number of years as a broker 
Number of years as a sales licensee
Number of years as an association executive or staff specialist
Other, please explain
Professional designations
Professional standards experience (approximate)
Local Grievance Committee# years
Local Professional Standards Committee# years
State Grievance Committee# years
State Professional Standards Committee# years
Local Board of Directors service# years
NAR Professional Standards Committee# years
State Board of Directors service# years
Mediation officer# years
Staff# years
Mediations conducted (how many) #
Mediation skills
Formal training as a mediator YearTraining provided byHours of instruction
Page 1

You're Reading a Free Preview

/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->