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For Family Law Mediations:
I have completed a mediator training course for disputes relating to the parent-
child relationship with an additional 24 hours of training in the fields of family
dynamics, child development, and family law. Date: _______________________
Institution/organization: ______________________________________________
I have completed at least 4 hours of family violence dynamics training developed
by a statewide family violence advocacy organization. Date: ________________
Institution/organization: ______________________________________________
I have thoroughly read Tex. Fam. Code §§ 6.602 and 153.0071.
For CPS Mediations: [you must also complete the application for CPS appointments]
I have completed a 20-hour training course specific to mediating child protective
services cases. Date: ________________________________________________
Institution/organization: ______________________________________________
DECLARATION
My name is ______________________________________, my date of birth is ____________ ,
and my address is ______________________________________________________________ .
I declare under penalty of perjury that the foregoing is true and correct.
Executed in Collin County, State of Texas, on this date: ________________________________
__________________________________________
Declarant signature
Please submit this application, proof of completed training, and a résumé to
kalvarado@co.collin.tx.us.
If your application materials are approved by the district judges, you will be added to the
mediator appointment list.
click to sign
signature
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