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Personal Information
Full Name (Accredited Mediator):
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ID Number:
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SAAM Membership No:
Gender:
Male
Female
Date of Birth:
Email Address:
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Mobile Number:
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Name of Practice:
Address:
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City:
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Region:
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Gauteng
Mpumalanga
Limpopo
Kwa-Zulu Natal
Eastern Cape
Northern Cape
Western Cape
North West
Free State
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Website Address:
Mediation Type:
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In person
Online
Both In Person and Online
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Professional Information
Background:
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Legal
Mental Health
Social Sciences
Finance
Pastoral
Other
Years Accredited as a Family and Divorce Mediator:
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1-5
6-10
10-15
15 +
Consulting Days:
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weekdays
Saturday
Sunday
Public Holidays
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Language:
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English
Afrikaans
Zulu
Xhosa
Other
Other languages:
Mediation Specialty:
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Family
High Conflict
Maintenance
Substance Abuse
Domestic Violence
Children with impairments
Other
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Other:
Please list Specialty
Member Fee Structure
Fee Per Hour:
Registration Fee:
Maintenance Calculation:
Parental Plan Document:
Accrual Calculation:
Divorce Settlement Agreement:
Other:
Other:
Deposit Required:
Yes
No
Deposit Amount:
Member Bio for Clients
Professional Background::
We are interested in learning more about your educational background, qualifications, and any relevant certifications in mediation or related fields. Max 250 Words
Professional Experience::
Please share a summary of your experience as a mediator, highlighting the types of cases you have handled and any notable achievements throughout your career. Max 250 Words
Approach to Mediation:
Could you provide insights into your mediation style, philosophy, and any specific methodologies or techniques you prefer in facilitating successful resolutions? Max 250 Words
Success Stories:
We would greatly appreciate it if you could share brief anecdotes or success stories from your past mediations, showcasing your skills and positive outcomes. Max 250 Words
Your Email:
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Should the Member wish to be registered on the process, the member must be accredited by SAAM; The Member agrees to pay SAAM an Annual Database Subscription fee of R250.00. The Database Subscription fee is payable by the Member to SAAM after completion and acknowledgement of this agreement. This Database Subscription fee is non-refundable and payable on an annual basis in January. The member agrees to provide ALL of the above information to SAAM for this agreement to take affect (this information will be sent to the referring and responding party)
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