Online Domestic Mediation Training Registration Form
How would you like you name to appear on the certificate of completion?
Complete Mailing Address
Do you have a computer? (This training cannot be attended on a tablet or telephone)
Do you have a webcam and microphone? (These devices are required.)
Do you have high-speed, secure internet? (You cannot use public WIFI or hotspots to attend this training)
How did you learn about our mediation training?
Georgia Office of Dispute Resolution
Social Media (Facebook, Social Media, Instagram, Twitter, LinkedIn)
Magazine of Newspaper Advertisent
Prior Training or Speaking Engagement
If you selected "Personal Referral" please let us know who we should thank:
Which of the categories below best describe your profession?
Mental Health Professional
Court Staff & Other
Human Resource Professional
Online mediation courses are limited to only 12 students per course offerings and your seat will not be secured without receipt of course tuition. (Please check all that apply)
I understand that my seat would not be reserved until I submit payment. (Required)
No Refund Policy: Please note that once course tuition has been submitted, refunds will not be issued for any reason.
I understand that once course tuition is submitted, I will be subjected to this above listed policy. (Required)