Parent Coordinator Application Form Page 4
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8 Have you provided documentation to the Court? Yes
No If yes, please describe:
___________________________________________________________________________
Do you routinely screen for domestic violence and abuse? Yes
No Please describe:
___________________________________________________________________________
Do you collaborate with attorneys and/or Guardians ad Litem? Yes___ No___ Please
explain: ____________________________________________________________________
Have you provided testimony in Family Court cases? Yes No How often?
________________________________In what capacity?____________________________
Have you been a parent education provider? Yes
No
Describe in
detail:______________________________________________________________________
Do you provide referrals to community/private providers? Yes No For what
services? __________________________________________________________________
Have you given specific training, presentations or authored articles that demonstrate your
expertise in the following areas? If so, specify:
High conflict resolution techniques including mediation
__________________________________________________________________________
Child adjustment issues specific to divorce____________________________________
__________________________________________________________________________
Parental alienation and estrangement_________________________________________
__________________________________________________________________________
Parenting skills__________________________________________________________
Legal aspects of divorce including the concepts of shared responsibility and co-
parenting_______________________________________________________________
Time-sharing options/parenting plan_________________________________________
_______________________________________________________________________
Family law proceedings___________________________________________________
Family violence or abuse __________________________________________________
_______________________________________________________________________
LOCATION AND LIMITATION
LOCATION. List any additional office locations where you can provide parenting coordination
services:
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