Note: Applications will not be submitted without making payment after you submit

New MemberRenewal

General Information

Full Name: *

Home Address: *

Employer/Business Name: *

Work Address: *

Occupation: *

Mailing Address: *HomeWorkOther

Mobile Phone :*

Work Phone:

Home Phone:

Other Phone:

Email: *

Website:

Mediator Training

Have you completed a 40-hour (or more) basic mediation training program? (If yes, when and where?) *:YesNo
When: Where:

Have you completed a 24-hour (or more) family law mediation training program? (If yes, when and where?) *:YesNo
When: Where:

Number of mediations performed as mediator?

May we call you to serve on committees? YesNo

Please sign below with the date of your signature. Your signature certifies, to the best of your knowledge, that the information you have submitted above is true and correct. With your signature below, you also agree to abide by any Standards of Ethical Conduct adopted by Tarrant County Association of Mediators.

Please make sure to enter the member's name in the Paypal description field when taken to the payment page

Electronic Signature Date (YYYY-MM-DD)

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TCAM dues are $35.00 for one year beginning January 1 and ending December 31 for Voting Members and Associate Members.
Please complete the payment portion of the application after clicking submit to ensure your application is processed.

Voting Member – you have completed at least 40 hours of training in mediation techniques or have performed at least ten mediations. Voting Members in good standing receive TCAM publications via email and have full rights to vote and hold office in TCAM. Please note: Only voting members will be invited to create a professional online profile in our Members Directory

Associate Member – you are interested in mediation but you do not qualify for Voting Member status. Associate Members in good standing receive TCAM publications via email and may participate in all TCAM activities but cannot vote or hold office.

Tarrant County Association of Mediators is a Texas non-profit corporation. Your membership dues are NOT tax deductible as a charitable donation (although they may be tax deductible as a business expense). Your membership status, voting rights, and other associated privileges are determined by TCAM rules and Bylaws.