Course Conformance Affirmation

_________________________________________________________________
(Organization Name)

 
Courses Conforming to TMTR Standards
Course Title TMTR Standard *
40 hr. Basic Mediation
Family
Mediation
   Ethics   
Continuing
Education
         
         
         
         
         
* See the TMTR web site at http://tmtr.org/standards.htm for the latest versions of the standards

Organization Contact Information
Mailing Address
 
Phone
number
 
City, State, Zip Code
 
Email
Address
 
Web site
URL
 

 

Affirmation
I hereby affirm that the courses listed above and offered by this organization conform to the relevant Texas Mediation Trainers Roundtable (TMTR) standards regarding the content and curriculum established by TMTR for the related course.
Name
Responsible
Party (Printed)
 
Signature
of principal
 
Position


Date
 

NOTE: Texas Mediation Trainers Roundtable neither warrants nor claims that the courses above meet the TMTR Standards

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