Application for Accreditation in Divorce Mediation

To apply for Accreditation in Divorce Mediation, download the application form (PDF), print, fill in and mail it with the requirements documentation to:

Dolly Hinckley
Chair, Accreditation Review Board
47 Round Trail Drive
Pittsford, New York 14534

General Accreditation Requirements

  1. Membership in the New York State Council on Divorce Mediation
  2. Submission of $75.00 application fee. Checks should be, made out to NYS Council on Divorce Mediation
  3. Submission of ONE Proof of Requirement (click here to read the different routes accepted)
  4. Submission of cover sheet of your malpractice insurance
  5. Proof of Advanced Practitioner Membership in ACR, if applicable
  6. Proof of additional ten hours of consultation, if applicable (click here to read consultation requirements)
  7. Submission of three (3) copies of six (6) representative Memoranda of Understanding, if applicable
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