ON-LINE TRAINING REGISTRATION FORM

Date:

Name:          

Company/Organization: 

Street Address:

City:      State:      Zip:

Telephone:      E-Mail Address:

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Please check the training(s) you are registering for:

Basic Mediation Training - $850

     June 8 - 11, 2010; Omaha NE

     September 21 - 24, 2010; Kearney NE       

 

Family Mediation Training* - $850

     March 15, 22, 29, April 5 (2010); Lincoln NE

     August 2 - 5, 2010; Omaha NE

     November 8 - 11, 2010; Kearney NE

 

Child Support/Child's Financial Plan* -- $150

     April 12, 2010; Lincoln NE

     August 6, 2010; Omaha NE

     November 12, 2010; Kearney NE    

 

    

*This training requires training as a prerequisite; please list the date (month and year) you received that training:

 

 

Yes, I am needing NE C.L.E. credits; $30

 

 

 

 

[About NMCA] [Training Institute] [NE Mediation Centers] [NE Office of Dispute Resolution] [NE Legislation] [Contact Information] [Helpful Links]

 

 

Nebraska Mediation Center Association

P.O. Box 295

Eagle, NE  68347-0295

402-781-2011 or 877-342-2004 (toll free)

info@nemediation.org