A training program applicant for certification shall submit the following materials to support the application:

1. (a) An agenda as described in Fam 604.05(e) showing, on a daily basis, the clock times at which the various components of the basic course will be addressed;
2. (b) A separate strategy sheet as described in Fam 604.05(f) for each of the types of knowledge and skills listed in Fam 604.04;
3. (c) For all role-play scenarios intended to be used by the program, a statement describing how each is incorporated into the training agenda and program schedule;
4. (d) The student manual described in Fam 604.07;

5. (e) For the director and each trainer:

   1. (1) His or her family mediator certification number;

   2. (2) A statement describing:

      1. a. Which portions of the training he or she will present; and
      2. b. His or her qualifications to present such portions; and

   3. (3) To show completion of the continuing education required by Fam 604.09(d) and Fam 604.10(d), a certificate issued by the course provider for each course taken, showing:

      1. a. The name of the course provider;
      2. b. Whether participation was through attendance at a live presentation;
      3. c. The topic(s) covered by the course; and
      4. d. The date and number of hours of the course;

6. (f) For the director:

   1. (1) Documentation of the 50 hours of experience as a presenter required by Fam 604.09(b) in the form of:

      1. a. The brochure(s) describing the workshop(s), seminar(s), or course(s) at which presentations were made;

      2. b. One or more certificates issued by the event provider(s) showing:

         1. 1. The name of the provider(s) of the event(s);
         2. 2. Whether the presentation(s) was live or otherwise;
         3. 3. The topic(s) covered; and
         4. 4. The date and number of hours of the event(s); and
      3. c. The evaluation forms completed to show the students' evaluations of the event(s) and the presenter; and

   2. (2) Documentation of the 350 hours of face-to-face mediation in at least 30 family cases within the last 3 years required by Fam 604.09(c) in the form of a list of the family cases with the names redacted, showing for each case:

      1. a. Its starting and ending dates;
      2. b. The type of case; and
      3. c. The total number of hours expended; and

7. (g) For each member of the training staff:

   1. (1) Documentation of the 50 hours of experience as a presenter required by Fam 604.10(b) in the form of:

      1. a. At least 10 evaluation forms completed by those taking the 40-hour core mediation training; or
      2. b. At least 20 evaluation forms completed by those attending the continuing education presentations; and

   2. (2) Documentation of at least 250 hours of face-to-face mediation in at least 20 family cases within the last 3 years required by Fam 604.10(c), in the form of a list of the family cases with the names redacted, showing for each case:

      1. a. Its starting and ending dates;
      2. b. The type of case; and
      3. c. The total number of hours expended.

Source. #9087, eff 2-16-08; ss by #9675, eff 4-2-10; ss by #12507, INTERIM, eff 4-2-18, EXPIRED: 10-1-18 New. #12637, eff 10-2-18