Parent Coordinator Application Form Page 2

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Family mediation training program certified by the Florida Supreme Court.
Minimum of 24 hours of parenting coordination training, including:
 Parenting coordination concepts and ethics  Family systems theory and application
 Family dynamics in separation and divorce  Child and adolescent development
 The parenting coordination process
 Parenting coordination techniques
 High conflict divorce resolution techniques  Knowledge of the legal facets of divorce
 Florida family law and procedure
Name of Trainer and Entity which
Description of Course(s) or Training
Date(s)
Sponsored or Approved Training
Minimum of 4 hours of training in domestic violence and child abuse which is related to
parenting coordination.
Name of Trainer and Entity which
Description of Course(s) or Training
Date(s)
Sponsored or Approved Training
I have read and am familiar with section 61.125, Florida Statutes.
I have read and am familiar with Florida Family Law Rules 12.710, 12.720, 12.730, 12.740,
and 12.741.
I have read and am familiar with Florida Family Law Forms 12.984 and 12.998.
I have read and am familiar with the forms, rules, and procedures in this circuit pertaining to
parenting coordination.
DISQUALIFICATION. Check all that apply:
Yes
No Have been convicted or had adjudication withheld on a charge of child abuse,
child neglect, domestic violence, parental kidnapping, or interference with custody or time-
sharing?
Yes
No Have been found by a court in a child protection hearing to have abused,
neglected, or abandoned a child?
Yes
No Have consented to an adjudication or a withholding of adjudication on a petition
or dependency?
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