Join the Texas Association of Mediators

Fill out the application below to join TAM, or click here to download the printable application.

Basic Contact Information
Salutation:
First Name:
Middle:
Last Name:
Suffix:
 e.g. Jr., III, PhD., LCSW, MD, (Ret), etc.
Title:
Company:
Address:
City:
County:
State:
Zip Code:
E-Mail:
Phone Number:
Fax Number:
Web Address:
Enter full URL beginning with http://
 
Newsletter Delivery Preference

Mail newsletter to physical address.

Notify via e-mail when newsletter is posted on the TAM website

Membership Dues Information
Full Member - $75
(An individual who has satisfied the education, training and experience requirements for full membership.)
Candidate for Membership - $45
(An individual who has satisfied the education and training requirements for membership, but lacks the necessary hours of experience.)
Friend of TAM - $50
(An individual or organization that supports the mission of TAM. Friends of TAM do not have to complete the training, education and experience sections.)
 
Mediation Training
40-Hour Basic Mediation Training Course Completed
  List Trainer, Location and Year of 40hr. Basic Training:
24-Hour Family Mediation Training Course Completed
  List Trainer, Location and Year of 24hr. Family Training:
 
Education Level
Graduate degree from an accredited college, university or law school.
Undergraduate degree from an accredited college or university.
I am requesting a waiver of the education requirement and I am submitting evidence of alternative qualifications and/or exceptional commitment to and/or merit in the field of mediation. Please contact the Membership Director for more information and click here for factors that may be considered.
 
Professional Work Experience
Two (2) to four (4) years of professional work experience in field of practice.
Four (4) or more years of professional work experience in field of practice.
 
Mediation Experience
More than 100 hours of documented mediation experience.
Less than 100 hours of documented mediation experience.
 
Select Password
Password: Please enter a password between 5 and 15 characters.

This password will be used to access the resources available on TXMediator.org, renew your membership each year and more!
 
Date and Signature
  By signing below, I certify that the foregoing information is true and correct and that I have completed the training, education and the hours/years of experience as I have indicated above.
Date:
Signature:

By checking this box, you are authorizing the Texas Association of Mediators to include this information on the txmediators.org website. In order to prevent unsolicited e-mails, e-mail addresses will not be displayed on the txmediators.org website.