MEDIATIONCHECKLIST

WestVirginiaDepartmentofEducation

•Reviewassignmentmemorandumandrequestformediationinformation. Theassigned mediatorcontactsparties,byphoneorinwriting,toscheduletime,locationofthe mediation;andnotifybothpartiesandtheOfficeofSpecialPrograms(OSP)ofthetime andlocationofscheduledmediation.

Assignmentpacketwillinclude:

Assignmentmemorandum

 Requestformediation

 BlankMediationConclusionwithoutAgreement

ProceduralSafeguards

•Conductmediationsession(s).

•Formsneededatmediationsession:

MediationAgreementform

 Mediationconclusionform(noagreement)

Aftermediation:ForwardtoGhaskiLeeBrowningatOFP:

•Invoiceforservicesrendered;

•CopyofMediationAgreementformsignedbyparties;or

•MediationConclusionwithoutAgreementform(concludedwithoutagreement)

WESTVIRGINIADEPARTMENTOFEDUCATION CONFIDENTIALITYAGREEMENT

Student: / County:
Date Mediation Filed: / Due Process Hearing Decision Due:
Parent(s)’ / Parent’s Counsel:
Address / Address
Phone: / Phone:
Special Education Director: / LEA’s Counsel:
Address: / Address:
Phone: / Phone:

We,theundersigned,agreetothefollowing:

1) Themediator,theparties,andtheirattorneys(ifapplicable)agreethattheyareallstrictlyprohibitedfrom revealingtoanyone,including ajudge,dueprocesshearingofficerorarbitrator thecontentofanydiscussions whichtakeplaceduring themediationprocess. Thisincludesstatements made,settlement proposalsmadeor rejected,evaluations regardingtheparties,theirgoodfaith,andthereasonsaresolutionwasnotachieved,ifthat bethecase. This doesnotprohibit thepartiesfromdiscussing information, onaneed-to know basis, with appropriatestaff,professional advisors,andwitnesses.

2) Thepartiesandtheirattorneys(ifapplicable)agreethattheywillnotatanytimebefore,duringoraftermediation, callthemediatororanyoneassociatedwiththemediatorasawitnessinanyjudicial,administrative,orarbitration proceedingconcerning thisdispute.

3) Thepartiesandtheirattorneys(ifapplicable)agreenottosubpoenaordemandtheproductionofanyrecords, notes, workproduct, or the likeofthe mediator inany judicial, administrative, orarbitration proceeding concerningthisdispute.

4) If,at alatertime,eitherpartydecidestosubpoenathemediatororthemediator’s records,themediatorwillmove toquashthesubpoena. Thepartymakingthedemandagreestoreimbursethemediatorforallexpensesincurred, includingattorneyfees,plusthemediator’s then-current hourlyrateforalltimetakenbythematter.

5) Theexceptiontotheaboveisthattheaboveisthatthisagreement tomediateandanywrittenagreementmade andsignedbythepartiesasaresultofmediationmaybeusedinanyrelevantproceeding, unlessthepartiesagree inwritingnottodoso. Information whichwouldotherwisebesubjecttodiscovery,shallnotbecomeexemptfrom discoverybyvirtueofitbeingdisclosedduringmediation.

Signed _

(Parent)

Signed _

(Parent)

Signed _

(Parent’s Counsel)

Signed _

(LEA Representative)

Signed _

(LEA Counsel)

Signed _

(Mediator)

MEDIATIONAGREEMENT

WestVirginiaDepartmentofEducation

OfficeofSpecialPrograms

County: / Student:
CountyRepresentative: / Parent(s)/Guardian(s):
Date: / Mediator

Agreement

MediationAgreement

Page_of-pages

Themediationprocess isvoluntaryonthepartofallparticipantsandisnotused todeny or delayanyparticipant's righttoadueprocess hearing, ortodenyany otherrights affordedunderIDEA2004,andisconducted byaqualifiedandimpartialmediatorwho istrained ineffectivemediationtechniques. All discussions that occurred duringthe mediation process shall be confidential and may not be used as evidence in any subsequentdueprocesshearingsorcivilproceedings.

We theundersigned have participated in a voluntary mediation conference, and understandthatthissignedwrittenmediationagreementisenforceable through the State complaint procedures in 34 CFP 300.151 through 300.153inanyStateCourt ofcompetentjurisdictionorinaUnitedStatesDistrictCom.

Parent(s)/Guardian(s)/Representative(s)

Signatures

Date

SchoolOfficial(s)/CountyRepresentative(s)

Signatures

Date

MEDIATIONCONCLUSIONWITHOUTAGREEMENT

WestVirginiaDepartmentofEducation

OfficeofSpecialPrograms

County: / Student:
CountyRepresentative: / Parent(s)/Guardian(s):
Date: / Mediator

Themediationprocessisvoluntaryonthepartofallparticipantsandisnotusedtodenyor delayanyparticipant'srightto adue processhearing,ortodenyanyotherrightsaffordedunder IDEAof2004,andisconductedbyaqualifiedandimpartialmediationwhoistrainedineffective mediation techniques.

Wetheundersignedhaveparticipatedinavoluntarymediation conferenceandhavebeen unabletoresolvetheissuesofdisagreement. Oursignaturesbelowindicatetheconference resultedinnowrittenagreement.

Wepledgethatthemediationdiscussionswillremainconfidentialandunderstandthatthese discussionsmaynotbeusedasevidenceinanysubsequentdueprocesshearingorcivil

proceedings.

Parent(s)/Guardian(s)

Signatures

Date

SchoolOfficial(s)/CountyRepresentative(s)

Signatures

Date