Qualification Form

GUARDIANS AD LITEM & PARENTING COORDINATORS
FOR THE 15B JUDICIAL DISTRICT OF NORTH CAROLINA

PLEASE CHECK BOXES THAT APPLY TO YOU AND FILL-IN THE BLANKS:

GAL & Parent Coordinator

First and Last Name
Email
- I am applying to be included on the Parent Coordinator List
- I am applying to be included on the GAL List.
- I have completed a 24 hour Parenting Coordination Training Program. (Please list below the specific program, presenting organization and training dates. )
- I have completed GAL training. (Please list below the specific program, presenting organization and training dates.)
- I have an Advanced Degree: Masters or Ph.D. degree in psychology, law, social work, counseling and relevant training and experience. (Please list below the advanced degree, school, and graduation date)
- I have proof of current licensure in my area of practice, attached.
- I have 5 years of related post degree experience. (e.g., custody, parenting, child development, family conflict). Please describe this experience below:
- I have not participated as a party to any custody litigation within previous 3 years.
- I have attached my resume or curriculum vita.
File
Please attach proof of training, resume, and/or licensures/certifications.
Drop files here or

Accepted file types: docx, doc, pdf, rtf, txt, png, jpg, jpeg, Max. file size: 512 MB.
Phone
This field is for validation purposes and should be left unchanged.