Community Mediation Services
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Peace By Piece - October 2010 :
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Volunteer Hours Submission

59 E 11th Ave, Suite 100
Eugene, OR 97401
Phone: 541-344-5366

Please fill out the volunteer application below:

Name
first last
Title
Company
Address
street line 1
street line 2
, city, state/prov zip
Email
Phone
Fax
Professional Work
Training and Experience: Date of 30 Hr Basic Mediation Training / Name of Trainer or Agency
Any Advanced Mediation Trainings
In which of the following areas would you like to volunteer?
Volunteering with non-profit
Fiscal management, budgeting
Teaching, training
Computer, data management, etc.
Event planning
Public speaking
Supervising (co-workers, other volunteers)
Evaluation of co-workers, others
Program development
Facilitation
Fundraising
Any leadership roles
Confidentiality
Scheduling
Language(s) other than English able to translate
Area above in which you would not participate?
Types of mediation you are interested in:
Community
Youth - Parent/Adolescent
Restorative Justice
Human Rights
Public Policy (CMS may participate in the future)
Please write a paragraph illustrating the following:
I demonstrate a high level of commitment to serving the community.
I have the ability to interact effectively with all types of people.
I have experience in keeping confidential information.
I engage in effective conflict resolution in my daily life.
I hope to accomplish the following things by volunteering at CMS

Note: Please do not include any URLs in form.

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