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Peninsula Dispute Resolution Center Serving Clallam & Jefferson Counties Since 1992
Peninsula Dispute Resolution Center
Serving Clallam & Jefferson Counties Since 1992
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Peninsula College Pirate Peacekeepers Mediation Referral Program
Voluntary Law Enforcement Program
Community Housing Stability Program
Volunteer
Contact Us
Training Scholarship
Registration Forms
Scholarship Application
Fee Schedule
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Home
About Us
Our Board Members
Our Staff & Volunteers
Services
Peninsula College Pirate Peacekeepers Mediation Referral Program
Conflict Crushers: Peer Mediation Program at Stevens Middle School
Voluntary Law Enforcement Program
Community Housing Stability Program
Online Mediation Service
Mediation
Training Services
Conflict Coaching Services
Youth Services
Group Facilitation
Programs
Peninsula College Pirate Peacekeepers Mediation Referral Program
Voluntary Law Enforcement Program
Community Housing Stability Program
Volunteer
Contact Us
Training Scholarship
Registration Forms
Scholarship Application
Fee Schedule
Scholarship Application
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Scholarship Application
Peninsula Dispute Resolution Center
40-hour Basic Mediation Training
Scholarship Application
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(Required)
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Last Name
Address
(Required)
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What is your household size?
What is your annual household income? (a ballpark estimate is just fine)
Which training session(s) are you applying for?
Spring Basic Mediation Training Clallam County
Spring Basic Mediation Training Jefferson County
We offer full and partial scholarships based on individual needs. Please indicate which scholarship you are applying for:
Full scholarship
Partial scholarship
If partial scholarship, please indicate the amount that you are able to pay at this time:
How will this training help meet your personal/professional goals?
Describe the circumstances that led you to apply for a scholarship.
How will a scholarship assist you?
Are you interested in becoming a certified mediator and volunteering with Peninsula Dispute Resolution Center?
Yes
No
Unsure
We would appreciate your help in expressing appreciation to the donors who make the scholarships possible. If you are a scholarship recipient, would you prefer to:
Compose a note of appreciation written directly to a scholarship donor (either anonymously or with your name attached)
Complete a post-training statement/testimonial to be posted on our website/brochure (either anonymously or with your name attached)
Attend and assist at a donor function or event
Other gesture of appreciation. Please describe:
Other gesture of appreciation. Please describe:
Name / Signature
(Required)
First
Date
(Required)
MM slash DD slash YYYY
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