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Family Relations Mediator (FRM) Certification

Please fill out this form by first selecting which type of certification you would like to pursue; Standard, Advanced, or Advanced (Direct). This will determine the application & assessment fees as outlined on our FMC Certification Types page. Note that you can save this form at any point by scrolling to the bottom of this page and clicking on the ‘Save and Continue Later’ button. You can only do this if you are a logged in member of FMC.

A mediator completes the Family Relations Mediator Certification process and each year pays to maintain certification, and in addition submits a Certification declaration and record of completed training (minimum 20 hours) over the previous year.

Please fill out this form by first selecting which type of certification you would like to pursue; Standard, Advanced, or Advanced (Direct). This will determine the application & assessment fees as outlined on our FMC Certification Types page. Note that you can save this form at any point by scrolling to the bottom of this page and clicking on the ‘Save and Continue Later’ button. You can only do this if you are a logged in member of FMC.

A mediator completes the Family Relations Mediator Certification process and each year pays to maintain certification, and in addition submits a Certification declaration and record of completed training (minimum 20 hours) over the previous year.

1. Applicant Information

Name(Required)
Home Address(Required)
Work Address
Number of Family Mediations Completed(Required)

2. Curriculum Vitae

Please upload your resume outlining your education and professional qualifications and achievements.
Max. file size: 128 MB.

3. Family Mediation Training

Please complete the sections below indicating the hours completed for each. Note the required amount of hours indicated above each.
Basic Mediation Training
Section A) Basic Mediation Training Basic conflict resolution and mediation theory education and skills training including intercultural training. AT LEAST 80 HRS REQUIRED.
Course Name
School / Institution
Hours Completed
Date Completed
 
Drop files here or
Max. file size: 128 MB.
    Section B) Additional Training Further related education and training. AT LEAST 100 HRS INCLUDING HRS BELOW.
    Section B) i
    i. Family Dynamics of separation and divorce. AT LEAST 35 HRS REQUIRED.
    Course Name
    School / Institution
    Hours Completed
    Date Completed
     
    Section B) ii
    ii. Family and child Law. AT LEAST 14 HRS REQUIRED.
    Course Name
    School / Institution
    Hours Completed
    Date Completed
     
    Section B) iii
    iii. Power imbalance and dynamics and effects of abuse. AT LEAST 21 HRS REQUIRED.
    Course Name
    School / Institution
    Hours Completed
    Date Completed
     
    Section B) iv
    iv. Financial Issues including support. AT LEAST 7 HRS REQUIRED.
    Course Name
    School / Institution
    Hours Completed
    Date Completed
     
    Section B) v
    v. Ethical Issues. AT LEAST 7 HRS REQUIRED.
    Course Name
    School / Institution
    Hours Completed
    Date Completed
     
    Section B) vi
    vi. Drafting Agreements. AT LEAST 7 HRS REQUIRED.
    Course Name
    School / Institution
    Hours Completed
    Date Completed
     
    Section B) vii
    vii. Other Elective Hours
    Course Name
    School / Institution
    Hours Completed
    Date Completed
     
    Please enter your total hours as listed above.

    4. Proof of Practicum / Mediation Experience

    Please complete either Section (A) or (B), depending on your mediation experience:
    Section A: Experienced Mediator If you are applying as an experienced mediator, you must meet the following criteria: i) 2 years experience as a family mediator doing separation and divorce; ii) have completed a minimum of 10 cases (at least 80 hours) with clients around separation and divorce. And you must provide: i) two Memoranda of Understanding or Agreements that you have authored for your clients at the conclusion of mediation around separation and divorce. Please remove all identifying features (names of clients, addresses, birthdates, file numbers) prior to sending the copies of the documents to us. ii) two letters of reference on the approved reference form (found in Certifications > Certification Documents). These cannot be client references.
    2 x Memorandum of Understanding or Agreements, 2 x Letters of Reference
    Drop files here or
    Max. file size: 128 MB.
      Section B: New Mediator If you are applying as a new mediator because you do not meet the requirements in part (a), please provide: i) proof of practicum completed as set out in Section 5.7 of the FMC Standards (please attach your certificate of completion from your practicum placement); ii) three letters of reference on the approved reference form (found in Certifications > Certification Documents). One may be from your practicum supervisor/mentor.
      Proof of Practicum, 3 x Letters of Reference
      Drop files here or
      Max. file size: 128 MB.

        5. If you have completed your training and have practiced for more than one year, please specify the 20 hours of continuing family mediation education you completed last year. If your original basic mediation training is more than five years old, please specify the continuing education completed over the last three years.

        Please note the requirement that at least 14 hours of continuing education in the last three years must be conflict resolution and/or mediation skills training. Indicate dates, trainers, institutions, and duration.

        6. Any disciplinary actions taken against you by any professional association(s)?

        Disciplinary Action (yes/no)(Required)
        If yes, please include date, name of professional body, type of disciplinary action and result.

        7. Any ethical difficulties or criminal convictions?

        Ethical Difficulties (yes/no)(Required)
        If yes, please explain.

        8. Names of people who will complete your reference forms:

        Download the 'FMC Certification Letter of Reference' from this site at Certifications > Certification Documents. Have your references fill out the pdf and submit to admin@fmc.ca as outlined on the form.

        9. Any matters that might affect negatively the general public’s perception of your ability to adhere to the FMC Code of Professional Conduct?

        Code of Conduct Conflicts (yes/no)(Required)
        If yes, please explain.

        10. Provide proof of liability insurance coverage (by self or employer)

        FMC has a group insurance policy should you require it, found under Member Services > Insurance.
        Drop files here or
        Max. file size: 128 MB.

          11. Mediation Roleplay Video and Exam (Advanced only)

          When applying for Advanced Certification, you will be contacted to complete the following additional requirements: (i) Completion and submission of a mediation roleplay video, (ii) Self assessment of skills displayed in your mediation roleplay video, (iii) Final written examination

          Confidentiality

          It is understood that all documents provided by the candidate to FMC are for the purposes of certification only and will be deleted by FMC following the completion of the certification process after no longer than one year. It is the responsibility of the candidate to retain copies of any and all of their personal documents.
          Accept Confidentiality Statement(Required)

          Statutory Declaration

          I hereby certify that I am a member in good standing of Family Mediation Canada and that I adhere to the standards set out in the FMC Practice, Certification and Training Standards and the FMC Code of Ethics. I hereby swear or affirm that the information in this application form and its attachments is true and correct. I give my consent to the Certification Administrator(s) to inquire about any professional disciplinary actions and/or criminal convictions recorded against me.
          Accept Statutory Declaration Statement(Required)

          Application Next Steps

          Once you click 'Submit' this completed application along with supporting documents will be submitted to admin@fmc.ca Once all documentation has been received, reviewed and accepted - and you have been notified that the application has been approved - the remaining assessment fee is due and payable to Family Mediation Canada before proceeding with the next steps. An assessor will be assigned to you who will review the next steps of the advanced certification process if applicable.