Register Name* First Last Email* PhoneUsername / Nickname*Use only basic characters and/or numbers such as "firstlastname". NO Spaces. This can be used log in and it will also be used for your attendee directory @handle.Password*Remember, save or record your password. Your password will NOT be emailed to you. You can change it later if needed via email or within your profile. About YouYour Age*Child 13 and UnderYouth 14-17Adult 18+Are you still in school?*YesNoParent's Name*Parents Email* Grade Level*Select Your GradeK1st2nd3rd4th5th6th7th8th9th10th11th12thCollege - UndergraduateCollege - Masters or SimilarCollege - Doctorate or SimilarSchool NameCompanyIf employed, enter the company you work for, or the company name if owner or self-employed.Have you had peer mediation training before?*YesNoSelect Your Category / Group*Peer Mediators (9th -12th Grade)Junior Peer Mediator (K-8th Grade)Peer Mediator AlumniTeachers/AdministratorsParents of PeersOtherHow do you currently meet with your peer mediation group?Mark all that apply Virtually during the school day (peer mediation is a class) Virtually as an after school/extracurricular activity In person/hybrid during the school day (peer mediation is a class) In person/hybrid as an after school/extracurricular activity We meet asynchronously online We do not have a regular meeting time, and we would love to use the KMC Community as a place to connect Other CommentsRules & GuidelinesI have read and understand the guidelines and will abide by them at all times. Yes, I have read and understood Would you like to receive our e-NewsletterYou will be added to our general email list which we use to send out newsletters, announcements, news & events, etc. We will never sell, rent or give away your information and and you will be able to Opt-out at any time. Yes, add me to your e-newsletter
