Wufoo

Contact Information
Name * First Last
Business/Company Name *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Business Phone Number * ### - ### - ####
Business Email *
Education / Training / Experience

No applicant will be accepted as a PAR mediator without having completed at least a basic mediation training course.

Preference may be given for applicants who have completed additional education & training, and who show a commitment to further professional development.
When did you complete your basic mediator training course? *
Where did you receive your training? *
Please upload a copy of your training certificate. *

*A document must be uploaded. If you do not have a certificate, please create and upload a Word or PDF document with as much information as you can provide.
Please describe any training and education you have received since becoming a mediator, including the number of hours. *
Approximately how many mediations have you conducted in the last year? *
Approximately how many of those mediations involved real estate matters? *
Approximately how many mediations have you conducted in your career? *
Approximately how many of those mediations involved real estate matters? *
What style of mediation do you use most often? *
Evaluative Facilitative Transformative Other
If other, please explain.
Are you willing to attend PAR training explaining the rules of the PAR mediation program and exploring common real estate mediation issues? *
Yes No
Professional Memberships

The PAR mediator list will designate those mediators who are Realtors®, attorneys and/or members of the Pennsylvania Council of Mediators.
Are you a Realtor®?
Yes No
Are you a licensed attorney?
Yes No
Are you a member of the Pennsylvania Council of Mediators?
Yes No
Please list any other relevant professional organizations of which you are a member.
Mediator Service Area

The map below shows all PAR local associations, grouped into geographic Districts. PAR offers mediation services for the majority of our local associations through the Professional Standards Cooperative program. Associations that participate in the Cooperative program are noted with asterisks ** below.

Please select the associations where you are willing to provide mediation services. For areas where PAR does not provide mediation services, we will forward your contact information to the local association, and they may consider your interest for their local mediation program. Note that associations not serviced by PAR may have varying rules or criteria for their local programs.
District 1:
Greater Lehigh Valley Greater Luzerne ** Greater Scranton ** Pike-Wayne ** Pocono Mountains **
District 2:
Suburban West
District 3:
Greater Philadelphia
District 4:
Greater Harrisburg Lancaster Lebanon ** Pen-Mar Reading-Berks ** Schuylkill ** York & Adams Counties (RAYAC)
District 5:
Allegheny Highland ** Bradford-Sullivan ** Central Susquehanna ** Centre ** Clearfield-Jefferson ** Elk-Cameron ** Huntingdon ** McKean ** North Central Penn ** West Branch **
District 6:
Beaver ** Cambria-Somerset ** Fayette ** Greater Allegheny Kiski ** Washington-Greene ** Westmoreland ** Westmoreland West
District 7:
Allegheny Valley ** Butler ** Greater Erie ** Greater Mercer Lawrence ** Warren **
District 8:
Metropolitan Pittsburgh/RAMP
District 9:
Bucks Montgomery
Additional Information
Do you maintain liability/malpractice insurance? *
Yes No
If yes, what are your policy limits?
Are you willing to ALLOW an observer at your mediation sessions? *
Yes No
Are you willing to BE an observer with another mediator? *
Yes No
Dispute Resolution System (DRS)

The program was created by the National Association of Realtors® as a method used to settle disputes between buyers and sellers of real estate. PAR functions as the program administrator for most of the Realtor® associations in Pennsylvania, and maintains statistical data to insure the success of the program. As program administrator, PAR staff assists buyers and sellers with locating a mediator to help them resolve issues, and the parties pay their own expenses related to mediation. Please answer the following questions if you would like to participate in the DRS program.
Are you willing to accept DRS Mediation assignments, and abide by the policies and procedures of the DRS program? *
Yes No
Are you willing to communicate to PAR the general outcome of the DRS program mediations (e.g. settled, proceeding to court, etc.)? *
Yes No
Because consumers are responsible for paying the costs of DRS Mediation, mediator fees will be included with the selection information sent to the parties. For consistency, all fees will be cited with the same structure: A flat amount for up to 3 hours; a per-hour fee for every hour thereafter; and a notation for any additional fees or reimbursements (such as travel reimbursement).
Flat fee for up to 3 hours: $ Dollars . Cents
Per hour fee for every hour after the first 3 hours: $ Dollars . Cents
Additional fees or reimbursements, if any (e.g., travel reimbursement, if applicable):
Realtor® Financial Disputes (Arbitration Mediation)

By virtue of membership in the Realtor® organization, certain fee-related disputes between Realtors® must be submitted to arbitration in lieu of litigation. Prior to an arbitration proceeding, the parties are given a chance to try to settle the dispute through mediation. PAR functions as the program administrator for most of the Realtor® associations in Pennsylvania, and maintains data as needed to oversee the program. PAR staff assists its members with locating a mediator to help them resolve issues and carries out the remaining process should mediation fail. For Arbitration Mediation, PAR pays mediators a flat rate of $400 per mediation, plus mileage reimbursement for travel of more than 120 miles. Please answer the following questions if you would like to participate in the PAR Arbitration Mediation program.
Are you willing to accept Arbitration Mediation assignments and abide by the policies and procedures of the arbitration program?
Yes No
Are you willing to communicate to PAR the general outcome of Arbitration Mediations (e.g. settled, proceeding to court, etc.)?
Yes No
I understand that I will be paid a flat fee (currently $400 per mediation) as compensation for conducting Arbitration Mediation for PAR. (NOTE that local associations not serviced by PAR might not utilize non-Realtor mediators for this service, and may have a different fee structure.)
Yes No
Do Not Fill This Out

Wufoo

Contact Information

Education / Training / Experience

Professional Memberships

Mediator Service Area

Additional Information

Dispute Resolution System (DRS)

Realtor® Financial Disputes (Arbitration Mediation)