• Renewal Application as an Accredited Mediator under AMDRAS

    Renew your AMDRAS accreditation with CRS. Please complete all required pages and provide supporting evidence where requested.

  • Page 1 – Introduction and Applicant Details

  • AMDRAS Renewal Application – Introduction
  • Format: (000) 000-0000.

  • Page 2 – CRS Requirements

  • I have read and understood my obligations under the AMDRAS and agree to comply with these obligations*
  • I will take responsibility for maintaining my own records and evidence for seeking re-accreditation in 2 years, and that CRS is not obliged to keep records of any mediations or professional development I undertake to meet re-accreditation requirements*
  • I hold a current National Police Check (not older than 3 years) (please attach copy)*
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  • Will you be working with Children and Young People under 18 years of age?*
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  • Safeguarding Commitment – CRS is a child-safe organisation that prioritises the safety and wellbeing of children, young people and vulnerable adults. All children, young people and vulnerable adults have the right to be safe and feel safe in any environment. CRS is committed to a culture that does not tolerate child abuse, neglect or exploitation and will work actively towards preventing it. At CRS we have a strong commitment to ensuring the safety of children and young people and do not accept any form of harm or abuse.
  • Do you see any issues with aligning with this commitment?*
  • Do you have any current proceedings against you and any pending?*

  • Page 3 – Accreditation History

  • If Yes, please provide the following details:
  • Accreditation 1 — Accreditation commenced*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Accreditation 1 — Accreditation ended*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Accreditation 2 — Accreditation commenced
     - -
    2 digit month, 2 digit day, 4 digit year
  • Accreditation 2 — Accreditation ended
     - -
    2 digit month, 2 digit day, 4 digit year
  • Accreditation 3 — Accreditation commenced
     - -
    2 digit month, 2 digit day, 4 digit year
  • Accreditation 3 — Accreditation ended
     - -
    2 digit month, 2 digit day, 4 digit year
  • Accreditation 4 — Accreditation commenced
     - -
    2 digit month, 2 digit day, 4 digit year
  • Accreditation 4 — Accreditation ended
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you previously been accredited by a Recognised Mediator Accreditation Body?*
  • Has any accreditation expired or lapsed?*
  • Section 57 requirements for lapsed accreditation
  • Date first granted accreditation under AMDRAS or NMAS
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Page 4 – Renewal Level Sought

  • Renewal date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • What is your current level of accreditation?*
  • What field of mediation do you specialise in?*
  • Are you renewing at the same level of accreditation? (See AMDRAS Clause 45)*

  • Page 5 – Practice Hours and CPD

  • Dispute resolution practice hours in the last 24 months since your last renewal*
  • Is a record of your practice hours attached?*
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  • Specialist dispute resolution practitioner status*
  • CPD hours record status*
  • Is a record of your CPD hours attached?*
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  • Page 6 – Adjusted Renewal Requirements

  • Are you applying for adjusted renewal requirements?*
  • What is the basis for your adjusted renewal requirements?

  • Page 7 – Insurance and Complaints Management

  • Are you covered by relevant professional indemnity insurance or do you have statutory immunity?*
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  • Insurance renewal date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you attached a copy of your complaints policy?*
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  • Insurance and complaints management requirements: Please ensure your submission includes the required insurance evidence and complaints-management information in accordance with AMDRAS Clause 43 and the Professional Ethics and Responsibilities Domain.

  • Page 8 – Good Character and Disclosure

  • Have you ever been disqualified from professional practice?*
  • Do you have any unspent criminal convictions?*
  • Do you have any physical, mental, or other impairment that may affect your competent, honest, or professional discharge of obligations?*
  • Has any complaint against you as a mediator been upheld with conditions imposed?*
  • Has any application for NMAS or AMDRAS accreditation or renewal ever been refused?*
  • Has your mediation accreditation ever been suspended or cancelled?*
  • Are you currently registered through another Recognised Accreditation Provider (RAP)?*
  • You cannot be registered through more than one RAP at the same time. If you are seeking a transfer, please complete the transfer form.

  • Page 9 – Character and References

  • RPs must: (1) be of good character; and (2) possess personal qualities and experience appropriate to conducting mediations or other dispute resolution processes independently, competently and professionally. Please provide written references (2) that attest to your good character, from two members of the community who have known you for at least 3 years. See Appendix C for the referee report template.
  • 2 x Referee reports attached (refer Appendix C for template)*
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  • Page 10 – Acknowledgement, Undertaking and Consent

  • Do you acknowledge and agree to be bound by the AMDRAS Code of Ethics and Professional Practice Domains, where they do not conflict with other professional obligations?*
  • Do you understand the Ethical Code of Practice and Complaints and Disciplinary Procedure and agree to comply with the obligations?*
  • Do you consent to: (See AMDRAS Clause 42)
  • Your personal information being disclosed to the AMDRAS Board or relevant AMDRAS-related entity*
  • Your name, registration status and accreditation body released on the AMDRAS National Register*
  • The AMDRAS Board or entity releasing the information to other AMDRAS-related entities (but to no one else without the consent of all parties concerned)*
  • I agree to update CRS within 14 days should any information contained in this form change*
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: