VOLUNTEER FORM 

I am volunteering as:  (Check all that apply)

    Attorney Arbitrator
         Qualifications: Must be admitted to practice of  law a minimum of  3 years.

    Non-Attorney Arbitrator
         Qualifications:  Provide information about education & experience that is acceptable to the CCCBA.

    Mediator*
         Qualifications: Lawyers and non-lawyers who have completed at least 40 hours of mediator training
           acceptable to the CCCBA. Provide the name of the mediation course and date completed in the
           comment box below.

Name  

Firm Name 

Address      

City/State/Zip 

Telephone     Fax 

E-mail Address 

Fluent 2nd Languages

All volunteers check your areas of expertise or background:

Comments: 

*By submitting this application to the Contra Costa County Bar Association, I agree not to take on legal representation of any party or entity whose case comes before me through this panel.  I further agree to serve as a volunteer mediator for a period of four hours or less per case with no compensation.  (Should the period exceed four hours the parties may elect to retain the mediator for an additional mediation time at their own expense at a total hourly rate not to exceed $150.00 per hour.)

Please print  this page and fax it to (925) 686-9867. Or mail it to CCCBA, 704 Main St., Martinez, CA  94553.  Or copy the entire page into the body of an email and send it to eday@cccba.org.  

Thank you for volunteering your time and expertise.