PART I: General Information

PART II: Certified Training

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PART III: Mediation Experience 

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PART IV: Mentor Responsibilities

I hereby certify that the information provided in this application is true to the best of my knowledge and accurately reflects my qualifications to provide mentorship services incases My signature on any mentorship form(s) certifies that I have personally mentored and evaluated the applicant seeking to offer mediation to the public
If approved for Mentor status, I agree to adhere to the Standards of Ethics and Professional Responsibility for Mediators and mentors, adopted by Mediation Training Institute International East Africa. I understand that all information herein is subject to verification.

Mediation Training Institute International East Africa Jeevan Bharati Building 5th floor P.O Box 42199-00100 Nairobi [email protected] If you have any questions or comments, please contact our secretariat

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