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Application Form - Volunteer Mediators

CALM Mediation logo

Thank you for your interest in joining CALM Mediation as a Volunteer Mediator. To progress your application, please complete the application form below and a member of our team will be in touch to progress it further.

If your application progresses to interview stage, you will be required to provide your signature to the following statement:

"I agree to my details being passed to the Criminal Records Bureau to conduct a check for criminal records and the result of this check to be passed to CALM Mediation and myself in strict confidence."

Mandatory *

My preferred location of work would be :

Name : *

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Address :

Postcode : *

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Telephone (Home) : *

Please delete the space between the area code and phone number

Telephone (Work) :

Please delete the space between the area code and phone number

Telephone (Mobile):

Please delete the space between the area code and phone number

Email : *

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Preferred Method of Contact : *

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Have you previously applied or been accepted as a Volunteer for CALM Mediation? * Yes No

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If yes, please provide details

How did you find out about Volunteering with CALM Mediation? * Please tell us how you found out about our Volunteering opportunities and/or about CALM Mediation

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Please provide the Name of your first Referee *

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Address : *

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Postcode : *

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Relationship to you : *

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How long have you known this person? *

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Please provide the Name of your second Referee *

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Address : *

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Postcode : *

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Relationship to you :

How long have you known this person? *

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What interests you about CALM Mediation *

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How can you contribute to helping clients that require Mediation? *

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Do you have any Criminal Convictions? * Yes No

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