January 2017 CATEGORY V- PARENTING COORDINATOR
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Prior to submitting this application, I certify that I have completed the following training:
at least thirty (30) hours of training in a mediation training program: AND
at least six (6) hours of training in intimate partner abuse and family violence dynamics to be established by the Probate
and Family Court in conjunction with the Trial Court; AND
at least thirty-five (35) hours of accredited speciality training in topics related to parenting coordination, including but not
limited to any mandatory training established by the Administrative Office of the Probate and Family Court, the role of the
parenting coordinator in Massachusetts, the role of the parenting coordinator generally, communication, conflict
management and dispute resolution skills, developmental stages of children, dynamics of high-conflict families, parenting
skills, problem-solving techniques, and parenting in separate households.
WITH THIS APPLICATION, I AM SUBMITTING THE FOLLOWING:
a copy of my resumé or curriculum vita;
a copy of my insurance binder; and
documentation of completion of all required training.
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a certificate of good standing, dated within the past 30 days, from the Board of Registration that issues my license; and
I am currently on the Category E and/or Category F fee-generating appointment list(s).
If this application is APPROVED, I understand that:
1. When I am appointed by the Court, I may not delegate any aspect of that appointment to anyone else.
2.
If I am appointed as parenting coordinator and a person with an appearance in the case requests a certificate of my
professional liability insurance, I will provide the certificate within seven (7) days of such request.
3.
To remain on this list for appointments, I understand that I am required to attend, on an annual basis, a minimum of six (6)
hours of continuing education approved by the Administrative Office of the Probate and Family Court in one or more of the
specialty training topics listed above which appear in the standing order and in relevant domestic relations case law and
statutes, or in a training topic established by the Administrative Office of the Probate and Family Court. This continuing
education requirement is separate and distinct from the continuing education requirements for other fee
generating appointment categories.
I agree that the Administrative Office may access a CARI (Criminal Activity Record Information) report. I understand that
this is required as a condition of my inclusion on the fee generating appointment list and, that the report will be kept
confidential at the Probate and Family Court Administrative Office.
SIGNED UNDER THE PENALTIES OF PERJURY
I certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief.
Date:
Signature
