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ADRBC Application for Membership
PART 1 - APPLICANT INFORMATION
Subscribe to our newsletter
*
1.
Legal First Name
(Required.)
*
2.
Legal Last Name
(Required.)
3.
Preferred First Name
*
4.
Contact Information
(Required.)
Street Address
*
Unit or Apt #
City/Town
*
Province
*
Postal Code
*
Email Address
*
Phone Number
*
*
5.
Employment Information
(Required.)
Profession
*
Company
*
If retired, profession prior to retirement
Part 2 - APPLICATION QUESTIONS:
*
6.
Are you interested in
(Required.)
Arbitration
Mediation
Both
*
7.
Are you currently practicing ADR?
(Required.)
Yes
No
*
8.
Are you interested in applying for Roster Status (if applicable)?
(Required.)
Yes
No
*
9.
Are you interested in our Education Programs?
(Required.)
Yes - As a Student
Yes - As a Coach or Trainer
All of the above
None of the above
*
10.
Would you be interested in participating in our Mentorship Program?
(Required.)
Yes - As a Mentee
Yes - As a Mentor
Not at this time
11.
If you answered 'Yes' and are interested in becoming a Mentor or Instructor,
please include a brief resume of your credentials:
12.
Please share any other details regarding your interest in become a Member with ADRBC. We love hearing from you!
Part 3 - APPLICANT DECLARATION
13.
By filling in the boxes below, I agree, once accepted as a Member of ADRBC/ADRIC, to be bound by their by-laws and/or regulations made, the terms of their constitution and by any subsequent amendments and/or alterations thereto which may be made.
Applicant Initials
Date Submitted
Thank you for your interest in joining us at ADRBC/ADRIC.
A member of our staff will be reviewing your application, and will be in touch with you soon.
If you have not heard from anybody within 7-10 business days, please email us at:
info@adrbc.com
If you haven't already done so, please consider subscribing to our
Newsletter
, where you will be among the first to know about upcoming events, courses, discounts and more!
With appreciation,
The ADRBC Team
