NOTE: Print a copy of this completed form for your records prior to submitting it electronically. This form must be taken along with payment to the Cashier's Office with the following codes: DEPT Code: 03450002 OBJECT: 738801.

Name:

PID:
Date:
Address:
       
Apt #:
City:
State:
ZIP:
     
Work Phone:
Home Phone:
E-mail:
           
UCF Student
Freshman 
Sophomore
Junior
Senior
UCF Graduate Student
     
UCF Faculty
UCF Staff
Non-UCF Participant ( i.e. alumni and / not currently enrolled UCF Students )
   
Department: Refresher Date/Time:
 
What semester and year did you complete the First Timer's Mediation Training?
   
Year: Semester: Fall Spring Summer
Are you interested in remaining a UCF Volunteer mediator?
No
Yes
What skills and/or techniques are you interested in reviewing? (Please list all)

 

***PLEASE NOTE: The DRS Refresher Session is a 4-hour continuing education workshop offered to current DRS mediators who have successfully completed the DRS First Timer's Mediation Training. Participants must complete the one day (4 hours) of training to receive credit for completion of the continuing education workshop.

***PAYMENT OF FEES: All fees (as applicable) are non-refundable and are due one week prior to the day of training. There is no cost for UCF students, $5 for UCF Faculty/Staff, and $5 for non-UCF participants. For UCF Faculty/Staff that would like to make payment via an ID Transfer, please notify our office and provide a receipt as proof of payment. For all others, please make payment at the UCF Cashier's Office located on the first floor of Millican Hall. When making payment, please provide the completed printed form with following information to ensure that payment is deposited into the proper account: DEPT CODE: 03450002 OBJECT: 738801

Please fax a copy of the receipt one week prior to the first day of training as proof of payment. If you have any questions about this procedure, please contact this office via phone (407-823-3477) or e-mail before making payment.

Click here for RSVP deadlines - Year 2006 - 2007

If you have any questions regarding the registration process, please e-mail: spfarris@mail.ucf.edu

 

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