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The Ombuds Office
145 1/2 West Lorain Street
Oberlin, OH 44074
Telephone: (440) 775-6728
Fax: (440) 775-6575
E-mail:
ombuds@oberlin.edu
Oberlin College Dialogue Center Application
Name:
Oberlin E-mail:
OC Address:
(if known)
Telephone:
Permanent Phone:
Permanent Address:
Please check if you are a
Student
Staff
Faculty
If student
Graduate
Undergraduate
Major:
Year of Graduation:
If Staff/Faculty,
please list your department
To ensure the effectiveness of the institute, it is essential that participants come from diverse backgrounds.
Please answer the following questions as completely as possible. All answers will be kept confidential.
1)
Please identify yourself in terms of socio-economic background, gender, primary language, religion, ethnicity, age, sexual orientation, disability status, political orientation, etc. (Optional)
2)
What organizations do you belong to?
3)
Why do you want to participate in the mediation training and The Oberlin Campus Dialogue Center?
4)
What skills or experiences do you possess that make you a good facilitator of communication and a good manager/resolver of conflict?
5)
What skills or other qualities enhance your ability to work with controversial issues in diverse groups?
6)
Anything else you would like us to know about you?