Mediator Panelist Application Template Page 2
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6Superior Court of California, County of Sacramento
Mediation
Employment
Place of Employment
Position
Dates (from – to)
Language Capabilities
Languages, other than English, in which you can conduct a mediation:
Degree of Fluency (Comfortable conducting mediation in foreign language):
III.
SUBJECT MATTER AND PROCESS EXPERIENCE
Please indicate no more than four areas in which you have subject matter and process expertise.
Personal Injury
Employment
Business
Real Estate/Eminent Domain
Professional Malpractice (Indicate legal, medical, etc.)
Probate: Estates and/or Conservatorships
Construction Defect
Public Agency
Insurance
Environmental
Securities and/or Intellectual Property
Other Areas of Subject Matter Expertise (Specify)
IV.
EDUCATION, TRAINING AND EXPERIENCE
Please indicate the combination of education, training and experience you possess which you believe
qualifies you for inclusion on the mediation panel.
Education
Dates (from - to)
College/University
Degree Obtained
APPLICANT’S INITIALS: __________
Mediation Panelist Application
CV-E-MED-163 (Revised June 17, 2013)
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Parent category: Legal