Volunteer Application
The AACRC is a volunteer-driven organization. The volunteer program exists to provide leadership and direction within the Center, to deliver mediation and conflict resolution services, and to reach the community by raising awareness of AACRC services
Name
*
First Name
Last Name
Todays Date
*
-
Month
-
Day
Year
Date
E-mail
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Contact Method
*
Primary Phone Number - Call
Primary Number - Text
Email
Alternate Number - Call
Alternate Number - Text
Other
Emergency Contact Information
Name
*
First Name
Last Name
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to You
*
Alternate Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteering with the Center
What does your daily availability look like for the center?
*
Rows
10 AM - 12PM
12 - 2PM
1 - 3 PM
2 - 4PM
6 - 8PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What opportunities are you looking to be a part of in the center?
*
Anger Management Instructor
Assisting with Events or Classes
Board Member
Conflict Coach - Youth
Conflict Coach - Adult
Community Events Planner
Couples Conflict Resolution Instructor
Intake Volunteer
Mediator
Workshop Facilitator
Other
Are you willing to travel outside of Annapolis to other areas in Anne Arundel County?
*
Yes
No
Do you have any previous experience with mediation or group facilitation?
*
Yes
No
Some
Do you have your 40-hour Basic Mediation Training(BMT) completed already?
*
Yes
No
If you have your BMT, which style are you trained in?
Inclusive
Facilitative
Transformative
Are you trained in any of the following?
*
General Mediation
Parenting Plan
Day of Trial
Marital Separation in MD
Police Mediations
Agreement Writing
Individualized Education Planning (IEP)
Large Group Facilitation
Re-entry Mediation
Attendance Mediation
Youth Conflict Coaching
Adult Conflict Coaching
None of the Above
Other
What of the following would you like to be trained in?
*
General Mediation
Parenting Plan
Day of Trial
Marital Separation in MD
Police Mediations
Agreement Writing
Individualized Education Planning (IEP)
Large Group Facilitation
Re-entry Mediation
Attendance Mediation
Youth Conflict Coaching
Adult Conflict Coaching
None of the Above
Other
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Demographics and Long Answer Questions
Birth Year
*
Gender
*
Please Select
Male
Female
Transgender
Non-binary
Race
*
Please Select
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Middle Eastern or North African (MENA)
Two or More..Please Specify below
Race Continued..
If two or more, or your race is not listed.
Highest Level of Education
*
Please Select
1st - 8th Grade
Some High School
High School/GED
2-year degree/Associates
Some College
4-year degree/Bachelors
Masters
Doctoral
Marital Status
*
Please Select
Divorced
Married
Separated
Single
Widowed
Military Experience
*
Please Select
None
Retired/Veteran
Active Duty
Reserves
Annual Household Income
*
Please Select
Up to $14,999
$15,000-$24,999
$25,000-$34,999
$35,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$199,999
$200,000+
Employment Status
*
Please Select
Employed (Full-Time)
Employed (Part-Time)
Disability
Retired
Social Security
Student
Unemployed
Worker's Compensation
Do you speak another language? If so, what language?
What skills do you have that would help around the center?
*
Managing supplies (inventory/restocking)
Setting up for meetings or trainings
Organizing documents and digital files
Experience working with JotForm
Clear verbal and written communication
Taking detailed notes or messages
Handling inquiries professionally
Database or CRM entry
Google Workspace (Docs, Sheets, Drive)
Microsoft Office (Word, Excel, SharePoint, PowerPoint)
Making reminder calls or emails
Helping prepare materials for workshops
Basic printing, scanning, and copying
Translating or bilingual support
Archiving digital or physical files
Using Zoom, Teams, or other meeting platforms
Updating basic website info or calendars
Social media posting or scheduling
Grant or donor research
Editing or formatting newsletters
Using volunteer management platforms (e.g., Duplie, SignUpGenius, Excel)
Sending group emails or updates
Maintaining digital forms or resources
Staying calm with shifting priorities
Respect for confidentiality
Reliability and follow-through
Positive and solutions-focused attitude
Other
What skills do you have that would make you a good mediator?
*
Why do you want to become a mediator?
*
Describe your ability to remain neutral in high conflict situations.
*
Please verify that you are human
*
Submit
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