Nomination Form
Conflict Resolution/Peer Mediation
| Home | Teasing and Bullying | Peer Mediation | Instructions Page | Nomination Form | Consortium 2001


A peer mediator is a student who helps his or her classmates work out differences peacefully.

I agree to the following:

1. To attend the mediation training.

2. Be willing to go on mediation duty on a regular schedule
(usually once a week) for the remainder of the year.

3. Maintain positive behavior and be a good role model for
other students.

4. Make up any classwork missed due to mediation duty or
training.

Please click below: Peer Mediation , thank you.

Check which nominator you are:

Self______Teacher______or other student_______

Why do you think this person would be a successful Mediator?

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Peer Mediation