Mediators Application

Full Name*

ID Number*

Nationality*

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Current Employer

Mobile Number*

Phone

Email*

Years of Experience*

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Numbers of Previous Mediation Cases

Cases you worked on as a Mediator

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Degree - Most recent

Job Title (1)

Employer (1)

Experience

Include information about your three to four main areas of expertise. Parties are interested in knowing about those areas in which you have the most experience. Please detail the type of work you do and provide representative examples of: types of projects, transactions, cases and customers/clients.

Alternative Dispute Resolution Experiences

Include detailed information about your experience as Mediator including: issues addressed, types of cases, general descriptions of the parties, number of cases, case size, etc.; as well as experience in Arbitration, fact-finding, early neutral evaluation, mini-trials, or other forms of ADR. Parties have also expressed an interest in reviewing information about the number, size, and types of cases in which you have served as an advocate in ADR since this also demonstrates your familiarity with the process.

Alternative Dispute Resolution Training

Including Negotiation, Mediation and Arbitration training.

Language (1)

Statement of Veracity and Understanding

Have you ever been the subject of disciplinary action by a professional organization, convicted of a crime, whether in the KSA or abroad?*

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Acknowledgement (1)*

I have read the SCCA Codes of Conduct for arbitrators (https://sadr.org/arbitrators-code-of-conduct?lang=en) and commit to upheld and respect its provisions.

Acknowledgement (2)*

I am aware of the Terms & Conditions (https://sadr.org/Apply.Mediatorss?lang=en) applicable to SCCA Arbitration & Mediation Rules and I acknowledge that listing and removal from the SCCA roster remains at the absolute discretion of SCCA, without any responsibility.

Acknowledgement (3)*

The information provided herein, and any attachments thereto, are true and accurate to the best of my knowledge and belief. If there is any change in the information provided, I agree to promptly notify SCCA.

File Upload*

Required Documents (PDF) format:

Your résumé.
SCCA Training Program's Certificate
Copy of related certificates or memberships.
Copy of Passport or Iqama.

Drag and drop files here or

(PDF) Resume Attached*

(PDF) Mediation Training Certificate

(PDF) Copy of ID or Passport Attached*

Send me a copy of my responses

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