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Center for Mediation and Conflict Resolution
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To Contact SLS:
Dawn Gibbs
Main Office:
1704-B Arlington Blvd.
Satellite Office:
125 Mendenhall Student Center
Phone:
(252) 737-1067
Fax:
(252) 737-1068
Hours of Operation:
8:30am - 5:00pm (Mon.-Fri.)
Mediation Referral/Request Form
Name:
Title:
Address:
Phone:
E-mail Address:
Standing at ECU:
Staff
Faculty
Student
Referral Agent
Party(ies) Referred Requesting
Name:
Gender:
M
F
DOB:
Address:
Phone:
E-mail Address:
Standing at ECU:
F
So
Jr
Sr
Grad
Staff
Faculty
Description:
Please describe the nature of the dispute and why you are requesting/referring the party(ies) to the Mediation Center
