Oregon Mediation Association Oregon Mediation Association

PO Box 40041

Portland, OR 97240

Phone: 503-872-9775

OMA Conference 2011 Registration Form

After you have completed your online registration, you will then have the opportunity to pay by credit card or check

OMA Members pay a reduced conference registration fee.
Join OMA today!

Please register by October 21, 2011 to ensure your spot.

Please use one form for each person who will be attending the Conference. All information requested on the registration form must be included except where noted or your form will not be processed.

Contact Information

Name:

First: Last

Street Address:

City, State, Zip:

Phone:

2nd Phone:

(optional)

Email:

Organizational Affiliation:

(optional)

Membership & Registration

I will attend:

Friday only
Saturday only
Attending both days

OMA Membership:

I am a current OMA member.
My Membership Category is:
   Full-time Student
   Unpaid Practitioner
   Friend of Mediation
   Paid Practitioner
   Lifetime

I am NOT an OMA Member

I am joining OMA today in the following category:
If you choose any of the following options, your membership fee will be included in the amount you are paying today.
   Full-time Student ($25 annually)
   Unpaid Practitioner ($35 annually)
   Friend of Mediation ($65 annually)
   Paid Practitioner ($85 annually)
   Lifetime ($1,500 one-time payment)

Select Conference Registration Fee:

Registration Fees	2 Days	1 Day
OMA Member - Paid Practitioner	$235	$158
OMA Member - Unpaid Practitioner or Full-Time Student	$133	$87
Non-OMA Member	$295	$195
Volunteer (Volunteers must be pre-approved by OMA)	$95	$50
Group Discount Rates	2 Days	1 Day
Applies ONLY when registering 5 or more people from the same organization at the same time. Please contact the OMA office when selecting this option.
OMA Member - Paid Practitioner (Group Discount)	$212	$142
OMA Member - Unpaid Practitioner or Full-time Student (Group Discount)	$120	$78
Non-OMA Member (Group Discount)	$266	$176
Organization through which the group discount is associated: (required if group discount is chosen)
Presenter Fees: The following fees apply only if you are a Conference Presenter	2 Days	1 Day (day of your presentation)
Presenter (OMA Member - Paid Practitioner)	$212	$126
Presenter (OMA Member - Unpaid Practitioner)	$120	$70
Presenter (non-OMA Member)	$266	$156

Lunch Choice:

Non-vegetarian
Vegetarian
Vegan

Payment method:

Check (payable to the Oregon Mediation Association)
Government Voucher/Purchase Order #
Credit card (if paying online will be via Paypal)

Registration Total:

Conference Options

Continuing Education Credit: (Applications pending)
        I want OSB CLE Credit OSB Bar Number:
        I want NASW Credit
        I want a certificate of completion for my records.

All participants will receive a CD with complete conference materials. If you would also like a hard copy handbook, check this box:
Yes, I would additionally like a hardcopy Handbook. (optional)

Conference Buddies

I am an OMA Conference veteran. I can be a buddy. (optional)

This is my first OMA Conference and I would like a buddy. (optional)

Workshop Sign-Up

Space is limited and workshops will be assigned on a first-come, first-served basis. Please indicate your first and second choice for each session. If your first choice is full and you don’t indicate a second choice, you will be assigned another workshop. If you register for a two-part workshop, you are expected to register for and attend both parts.

For each session, indicate the letter (a through g) for your workshop preferences. If you do not indicate your preferences in the section below, you will be assigned to workshops.

To read full descriptions of each workshop, click here.

Friday Workshop Session #1
Session - 10:45 am - 12:15 pm
	1a - “Mediator Toolkit: Embracing Your Own Discomfort ”, Zorwyn Madrone, Marylhurst University
	1b - “Coming to Terms with the C-Word - Consensus ”, Steve Greenwood, National Policy Consensus Center
	1c - FULL “Disarming the Desktop Daggers: Conflict Resolution in the Workplace”, Peter Johnson, Patrice Altenhofen, Cascade Employers Association, Mark Danley, Tsipora Dimant, Molly Keating and Paul Johnson
	1d - “The Changing Face of Power: Deepening Our Understanding ”, Barbara Blackstone, Marylhurst University and Cathy Bennett (Part 1 of 2)
	1e - “Let's Get Real About Racism”, John Lenssen
	1f - “Mediation in Politics & The Politics of Mediation”, Robert Benjamin, Mediation and Conflict Management Services (Part 1 of 2)
Select a second choice as well:

Friday Workshop Session #2
Session - 1:45 pm - 3:15 pm
	2a - “Mama Tumah and Chief Z: Positive Deviants Show Us the Way ”, John Hummel, Oregon Consensus Center
	2b - “When and How to Facilitate Communications with Third Parties in Domestic Relations Mediations ”, Lisa Mayfield and Julia Rice (Part 1 of 2)
	2c - FULL “Courageous Conversations: Impartial Regard, Informed Consent & Self Determination in the Face of Power Imbalance ”, Harry Auerbach, City of Portland, Paul Allen and Cynthia Moore
	2d - “Sacred Rivers: How Universal Values Embedded in Ancient Spiritual Traditions Can Improve Mediations ”, Michael Dwyer, Dwyer Mediation Center, Jane Bell and Sukhsimranjit Singh, Willamette University Center for Dispute Resolution
	2e - “Resiliency: A Core Skill for Professionals & Clients ”, Glen Fahs, Cascade Employers Association
	2f - “Continuation of 1f - Mediation in Politics & The Politics of ”, Robert Benjamin, Mediation and Conflict Management Services (Part 2 of 1)
Select a second choice as well:

Friday Workshop Session #3
Session - 3:30 pm - 5:00 pm
	3a - FULL “An Experienced Mediator’s Favorite Techniques ”, Jim Melamed, Mediate.com
	3b - “Continuation of 2b -When and How to Facilitate Communications with Third Parties in Domestic Relations Mediations ”, Lisa Mayfield and Julia Rice (Part 2 of 1)
	3c - “Bucking Conventional Mediator Wisdom to Reach Settlement ”, Julie Gentili Armbrust, Mediation Northwest
	3d - “Continuation of 1d - The Changing Face of Power: Deepening Our Understanding ”, Barbara Blackstone, Marylhurst University and Cathy Bennett (Part 2 of 1)
	3e - “Addressing and Meeting the Needs of Diverse Clients ”, Maria Victoria, Peaceful Agreements and Lourdes Fuentes
	3f - “Can A Few Voices Really Make a Difference? ”, Mike Dahlstrom, Washington County, Carol Chesarek , Cheryl McGinnis and Carol Amabisca
Select a second choice as well:

Saturday Workshop Session #4
Session - 9:30 am - 11:00 am
	4a - “Walking Our Talk: The Power & Possibilities of Cross- Cultural Alliances ”, Barbara MacKay, North Star Facilitators, Rangineh Azimzadeh, Marem Flores, Anthony Jackson, Sandra Jackson, Mari Mizobe and Shane Sasnow (Part 1 of 2)
	4b - “Facilitating Dangerous Conversations ”, René-Marc Mangin (Part 1 of 2)
	4c - “The Courage of Asking Powerful Questions ”, Tsipora Dimant
	4d - “Culture Counts: Getting Beyond a One-Size-Fits-All Framework for Conflict Resolution ”, Linda Isako Angst, Lewis & Clark College
	4e - “How to Untrain Your Attorney ”, Linda Scher and Mary Forst
	4f - “Working Globally, Thinking Locally: Lessons Learned for Local Action ”, John Hummel, Oregon Consensus Center, Donna Silverberg, DS Consulting, Charles Wiggins, University of San Diego and Raymond Shonholtz, Community Boards & Partners for Democratic Change
Select a second choice as well:

Saturday Workshop Session #5
Session - 11:15 a.m. - 12:45 pm
	5a - “Continuation of 4a - Walking Our Talk: The Power & Possibilities of Cross-Cultural Alliances ”, Barbara MacKay, North Star Facilitators, Rangineh Azimzadeh, Marem Flores, Anthony Jackson, Sandra Jackson, Mari Mizobe and Shane Sasnow (Part 2 of 1)
	5b - “Continuation of 4b - Facilitating Dangerous Conversations ”, René-Marc Mangin (Part 2 of 1)
	5c - “High Conflict Cases: The Courage to Look at Your Behavior ”, Mark Baumann, High Conflict Institute and Rachel Hardies
	5d - “Facilitating Community Reconciliation: The Africa Diaspora Dialogue Project ”, Mary Lind, Dispute Resolution Center, City of Beaverton and Vincent Chirimwami
	5e - “Marshal Matt Dillon: Conflict Specialist ”, Katherine Anne Stansbury, Hearts & Minds Mediation
	5f - “Restorative Justice as a Conduit for Change through Governance ”, Matthew D. Hartman, Clackamas County Juvenile Department
Select a second choice as well:

Saturday Workshop Session #6
Session - 2:30 pm - 4:00 pm
	6a - “How To Terminate the Conflict Intervention Process Conflict ”, Chris Sheesley, In Accord
	6b - “Applying Eight Significant Organizational Development Disciplines to Mediation ”, Mary Orton, The Mary Orton Company, LLC
	6c - “The Value of Mediation”, Jessica Ference, Oregon Office for Community Dispute Resolution
	6d - “Brain Change: The IPNB of Restorative Justice ”, Sarah Peyton
	6e - “Hot Topics in Mediation: Competency, Certification and Licensure ”, Larry T. Coady, Cynthia Moore and Sam Imperati
	6f - “The Ghosts of Mediation ”, Jon Biemer, Creating Sustainability
Select a second choice as well:

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