Mediation Foundation Training Application Form Please complete the form below to secure your place on our Mediation Foundation course. Mediation Foundation Booking Form Your detailsName* First Last Membership number*Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address*This can be your home or work address. All our materials will be provided online, but it's useful to have an address for you in case we do need to contact you by post. 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I am a (please tick as appropriate)* Solicitor Legal Executive Barrister Other If you have selected 'other', what is your profession? Date of admission as a solicitor/CILEX number/years of experience in family law* If you are a Resolution Associate member, please attach proof of your ability to work at degree level or equivalent.Max. file size: 64 MB.Consent I understand that I will be required to satisfy Resolution that I have the relevant experience and qualifications to attend this course.About youAll applicants to this course must have the ability to work at graduate level, either through posession of a degree or equivalent-level professional qualification, or experience of work in a role that requires an equivalent level of thinking and application. If you are a Resolution affiliate member, please provide confirmation of this (for example a scan of your degree certificate). Please attach this where indicated in the 'your details' section above.Please provide details of your work experience in the last five years, showing names of places you have worked and for how long:*Please attach confirmation as to the length and nature of your post-qualification experience (for example a letter from your employer).*Max. file size: 64 MB.What percentage of your work comprises family work? Please provide percentage figures over the last three years:*Please provide a general outline of your practice since qualification, including types of work undertaken:*What professional training, including workshops, conferences, seminars or in-house training have you undertaken in the last 18 months?*Please provide details of other qualifications you consider to be relevant. This does not have to be of a legal nature and can relate to your own personal experience:*Please give a brief outline of your understanding of family mediation:*What is your purpose in wishing to train as a family mediator? What do you see as the benefits?*Have you undertaken any other relevant courses? If yes, please outline:Do you envisage having a private or publicly funded mediation practice, or both?* Private Public Both Not sure Please set out any other matters you consider relevant to your application:Please confirm you have read the pre-booking information about this course* I confirm I have read the pre-booking informationPre-booking information (opens in new tab)Please confirm you have read the course attendance requirements* I have read the attendance requirements and understand that in order to successfully complete this course, I must attend all the remotely attended days and complete the guided study/distance learning and assignments. Missing any part of the course may result in a significant delay to my qualification.Course attendance requirements (opens in new tab)Date MM slash DD slash YYYY