'DIS AGREEMENT' Recruitment

Yes, I can provide their contact information

If Yes, Opposing Party Details:

Conflict Characteristics

Intense (this is a significant personal/professional issue)

Potential Resolution Goals

Podcast Participation Agreement

By submitting this form, I agree to:

  • Participate openly and honestly

  • Respect the podcast format

  • Engage in constructive dialogue

  • Abide by the host's mediation process

  • Potentially change my perspective

Select From List

Media Release

  • I agree to be recorded

  • I consent to potential video/audio distribution

  • I understand the podcast may be publicly shared

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