Apply To Be A GAL or PC

Apply to be a Guardian ad Litem or Parenting Coordinator in NC District 18.

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Qualification Form

Please complete the form below:

First and Last Name*

Email*

Check Which Apply:*

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:*

Yes No

Please list the specific program, presenting organization and training dates of your 24 Hour Parenting Coordinator Training Program:*

I have completed GAL Training:*

Yes No

Please list the specific program, presenting organization and training dates of your GAL Training Program:*

I have an Advanced Degree: Masters or Ph.D. degree in psychology, law, social work, counseling and relevant training and experience:*

Yes No

Please list the advanced degree, school, and graduation date:*

I have proof of current licensure in my area of practice, which can be attached below:*

Yes No

Attach proof of your current licensure:

I have 5 years of related post degree experience. (e.g., custody, parenting, child development, family conflict):*

Yes No

Please describe this experience below:*

I have not participated as a party to any custody litigation within previous 3 years:*

True False

Please attach your resume/cv: