DR Declaration 2021

Name*

First Last

Membership number

Are you a mediator?*

Are you registered with the Family Mediation Council (FMC)?*

FMC URN

Please tell us why you aren't registered with the FMC at this time*

Did you undertake a minimum of four hours consultancy and peer group discussion (of which at least two hours were one-to-one) in 2020?*

Please tell us why you were unable to undertake the four hours of consultancy*

Who is your PPC?*

First Last

What is your accreditation status?*

Please tell us why you aren't accredited or working towards accreditation*

Are you a collaborative pracitioner?*

Did you obtain at least six hours continuing learning and development in collaborative-related topics and skills in 2020?*

If you work part-time your learning hours can be pro rata

Please tell us why you didn't obtain the required continued professional development*

Did you attend at least four POD meetings in 2020?*

If you work part time the number of meetings you attended can be pro rata

Please tell us why you didn't attend the required number of POD meetings*

Which POD do you belong to?*

If you don't belong to a POD, please let us know in the box above. To find a POD in your area contact info@resolution.org.uk

Do you belong to more than one POD?

Let us know which PODs you belong to (in addition to the above):