Get Application For Mediator Certification - United States District Court

This guide provides a clear and supportive overview of how to complete the Application For Mediator Certification for the United States District Court. By following these instructions, users will be well-prepared to submit their application accurately and confidently.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor. You will start by accessing the application form electronically.
2. Enter your personal information in the designated fields. This includes your last name, first name, middle initial, facsimile number, email address, mailing address, and telephone number.
3. Indicate your status regarding your membership in good standing with a State Bar or the Bar of the District of Columbia by selecting 'Yes' or 'No'. If applicable, specify your Bar membership and Bar number.
4. Provide details about your experience mediating federal court cases, including the number of cases mediated and the time period during which this mediation occurred. List the areas of law you have mediated, estimating the percentage in each area.
5. Complete the section on mediating state circuit court cases similarly by providing the number of cases and period of time, as well as the areas of law and relevant details of the last five cases.
6. If applicable, indicate whether you have mediated disputes prior to litigation. Provide the number, time period, and areas of law for these mediation experiences.
7. Describe your substantial experience with federal courts or Bankruptcy Courts, including the number of federal cases involved and check off any areas of experience from the provided list.
8. Specify if you have ever been certified as a circuit court mediator in Florida and provide the certification date, number, and expiration date.
9. Describe your current professional status, indicating if you are a practicing attorney, full-time mediator, or engaged in other ventures. Provide relevant details regarding your practice.
10. Report any disciplinary history concerning your professional conduct, if applicable, including details of inquiries or complaints.
11. Indicate the counties in Florida where you are willing to mediate by checking the appropriate boxes.
12. Agree to the conditions for certification regarding mediation assignments and designation by the Court.
13. Provide references as required, listing the names, addresses, and telephone numbers of two attorneys who can attest to your experience and character.
14. Finally, certify the application by signing and dating it, ensuring that the application is true and correct.
15. Once the application is completed, save your changes, download, print, and share the form as necessary before mailing it to the Clerk of Court.

Complete your application online today to take the next step toward mediator certification.