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Child Protection Mediator (CPM) 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.

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.

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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.
Drop files here or
Max. file size: 128 MB.

    3. Previous Certification

    Please attach proof of any related certification or other special certificate of concentrated training.
    Drop files here or
    Max. file size: 128 MB.

      4. Child Protection 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) Family Mediation Training Family mediation training or a relevant professional designation or relevant public designation deemed to be equivalent to 100 hours of family mediation training. (The other FMC Certifications fulfill this requirement.) AT LEAST 100 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 specific to child protection mediation. AT LEAST 100 HRS INCLUDING HRS BELOW.
        Section B) i
        i. The FMC introductory course: Foundations for Child Protection Mediation. AT LEAST 40 HRS REQUIRED.
        Course Name
        School / Institution
        Hours Completed
        Date Completed
         
        Section B) ii
        ii. Family violence prevention and awareness, safety protocols, interdisciplinary practices involving children, and power imbalances. AT LEAST 14 HRS REQUIRED.
        Course Name
        School / Institution
        Hours Completed
        Date Completed
         
        Section B) iii
        iii. Trauma-informed practices, psychological and psychological long-term impacts of child and family violence, colonialism, deprivation, and cultural transitioning. AT LEAST 18 HRS REQUIRED.
        Course Name
        School / Institution
        Hours Completed
        Date Completed
         
        Section B) iv
        iv. Documentation training, drafting CPM agreements, preparing families and children to mediate, and Voice of the Child (report) response to the court. AT LEAST 4 HRS REQUIRED.
        Course Name
        School / Institution
        Hours Completed
        Date Completed
         
        Section B) v
        v. Training in CPM-specific criminal, civil, Indigenous, and ethical procedures. AT LEAST 4 HRS REQUIRED.
        Course Name
        School / Institution
        Hours Completed
        Date Completed
         
        Section B) vi
        vi. Training in CPM-specific mental health, addiction, and child and parental special needs problems. AT LEAST 14 HRS REQUIRED.
        Course Name
        School / Institution
        Hours Completed
        Date Completed
         
        Please enter your total hours as listed above.

        5. Continuing Education

        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 [email protected] as outlined on the form.

        9. Any matters that might negatively 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 [email protected] 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.