Register as a Mediator

Registering with ExpertInfo will allow you to be retained in more cases!

Registering with ExpertInfo is easy and only takes a few minutes.
All you need to do to get started is simply fill out the form below. A ExpertInfo representative will contact you to begin the registration process.

Should you have any questions about this registration process, please contact us at toll free 1-800-392-1119 or email us for assistance. Thank you.

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Firm Name (If Applicable)
First Name*
Last Name*
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City*
State*
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Web Site

Education and Training

Education / Licensure

BA	BS	CDP	CFP	CPA
DDS	Dmin	EdD	JD	LCSW
LLM	LMFT	LPC	LPN	MA
MBA	MD	MMin	MPA	MEd
MS	MSW	PhD	RN

Other Court-Related Positions:

	Commissioner in Chancery		Guardian Ad Litem		Magistrate
	Probation Officer		Retired Judge

Dispute Resolution Training hours:

	20 - 39		40 - 59
	60 - 99		100 - 199
	Over 200

Dispute Resolution and History

For how many years have you been in Dispute Resolution?

	Less than 3		3 - 5
	6 - 10		10 or more

Types of Disputes in which you have specialized training and experience

Number of Mediations Conducted:

	Less than 10		10 - 29
	30 - 49		50 - 100
	Over 100

Additional Information

Your customary Hourly Fee:

What discount are you willing to give Pro/Consul for your services?

	None	10%
	20%	30%
Other:

Referral Information

To help insure that we continue to provide superior services for our Experts, please take a moment to let us know how you found ExpertInfo.com.

I found ExpertInfo via:

	Search Engine:
	ExpertInfo was listed as a link from another Web site:
	Another expert witness referred me to ExpertInfo. The name of the expert witness was:
	Other. Please explain:

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