Questionnaire for State and Local Mediation Organizations

1. The name of your Association’s President: *

President's Email address: *

President's Phone number: *

2. The name of, and contact information for, the liaison within your organization that would be the best contact person to whom we can provide useful information regarding events and services that would be beneficial to your member-mediators.

Name: *

Email address: *

Phone number: *

3. The number of mediator-members within your organization: *

4. Do you have an annual conference? *

Yes

No

If so, when and where is it typically held? *

Who might our members communicate with if they desire to attend your annual conferences? *

5. Does your organization have a Listserv (group email list)? *

Yes

No

6. Which of the following services that we, at APFM offer, would be helpful to your organization and to your members? *

Access to conferences, seminars and workshops by nationally recognized mediators;

Access to continuing mediation education credits (legal, psych/social and general);

Access to webinars on topics of interest to practicing professional family mediators;

Expanding your membership/conference numbers from the attendance of our members;

Professional Mediator networking opportunities;

Initial 40-hour) mediator training;

Advanced mediator training;

Mediator certification;

Directing couples/families seeking mediation services to your organization/membership

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