MC3-Certified Mediator Registration

Instructions

Your profile contains several fields that you can enter and change information. These include:

Name. Please enter your names as you would like them displayed to the public.

Contact Information. Please note that the email address you provide here is for the public. You do not have to include the same email address you used for the application.

Practice Areas. You may select up to three practice areas from the provided list.

MC3 also lists on your profile the education, mediation training, and licenses that you included in your application.

If you would like additional education, mediation training, or licenses included on your profile, please contact MC3 at support@mc3certified.org. You will be required to submit documentation to verify the additional information.

Account

Username*

Password*

Repeat Password*

Name

First Name*

Middle Name

Last Name*

Contact Information

City*

State*

Phone Required phone number format: (###) ###-####

E-mail*

Website

Background

Education

Mediation Training

Licenses

Practice Areas

Please enter your practice areas below. To add additional practice areas, please click the plus in the bottom right corner. You may enter up to 3 practice areas.

Practice Area 1

Practice Area 2

Practice Area 3