Application for Membership of ISDR

Application for Membership of ISDR

ISDR is a direct service and training organisation. We offer family dispute resolution, workplace mediation and counselling services. ISDR also provides training in mediation and dispute resolution.

Members of ISDR:

•  are able to apply for National Mediator Accreditation with ISDR, which is an RMAB (Recognised Mediation Accreditation Body)

•  can access individual or group supervision for mediators in private practice

•  receive links to suggested readings when the ISDR mediators come across a particularly good article, book or piece of research

•  receive information about mediation and dispute resolution training opportunities

•  can access course discounts for ISDR courses

ISDR membership is renewed annually.

PERSONAL DETAILS

First Name: / Click here to enter text. / Surname: / Click here to enter text.
Mobile Number: / Click here to enter text.
Work Number: / Click here to enter text.
Email Address: / Click here to enter text.
Street Address: / Click here to enter text.
State/Territory: / Choose an item. / Postcode: / Click here to enter text.
Occupation: / Click here to enter text.
Current Employer: / Click here to enter text.
Educational Qualifications: / Click here to enter text.

ADR Accreditation/Qualifications

National Mediator Accreditation:

Are you a Nationally Accredited Mediator?
If yes, please provide a copy of the certificate. / Choose an item.
What is the name of the RMAB (Recognised Mediation Accreditation Body)? / Click here to enter text.
What date did you receive accreditation, or re-accreditation? / Click here to enter a date.

Family Dispute Resolution Practitioner:

Are you a registered Family Dispute Resolution Practitioner?
If yes, please provide a copy of the certificate. / Choose an item.
What is your registration number? / Click here to enter text.

Other ADR qualification/accreditation:

Do you have any other relevant ADR qualification?
If yes, please provide a copy of the certificate. / Choose an item.
Please provide details / Click here to enter text.

Certificate of Membership

Would you like to receive an electronic (PDF) or paper-based copy of the certificate? / Choose an item.

Signature Date

Click here to enter text. / Click here to enter a date.

Payment of Membership Fee

Payment (or confirmation of EFT) of $100 membership fee is required with this application, by cheque or EFT.

Account Name: Jon Graham Consulting

BSB: 112-879

Account Number: 041426753

PLEASE QUOTE “SURNAME ISDR 2013” if paying by EFT.

An invoice will be provided.

PLEASE RETURN COMPLETED APPLICATION AND PAYMENT TO

The Institute of Specialist Dispute Resolution

PO Box 787,

Five Dock

NSW 2046