I AM APPLYING FOR NATIONALLY CERTIFIED PARENTING COORDINATOR:

I certify that I have a minimum of two years of experience working at a professional level with at least five sets of high conflict or litigating parents, providing services that have been described by various designations, including, but not limited to: parenting coordinator, family coordinator, mediator, reunification therapist, couples therapy, marriage counseling, facilitator, etc.
(NOTE: PACE is seeking professionals who have experience working with couples who are in conflict with each other.)

Name *
Name
Please show us EXACTLY how you want your name to be printed on your certification credential
Please show us EXACTLY how you want your degree/title to be printed on your certification credential
Contact Information
Address *
Address
Work Phone *
Work Phone
Fax
Fax
Professional Information
Education
References
Following are the names and telephone numbers for two colleagues who can verify the accuracy of this Application:
Phone *
Phone
Phone *
Phone
Terms & Conditions
Upon registration I agree that I am bound by the ethics of my mental health profession, by the state in which I am licensed (or the court where I am employed) and by any relevant standards of practice which may be adopted from time to time by PACE. I agree to notify PACE of any changes in this application. I understand that the state(s) where I plan to offer my professional services as Custody Evaluator and/or Parenting Coordinator are legally able to regulate any and all court related activities within their state boundaries. I understand that they may now or in the future, require any or all of the following: licensing fees, license charges, charges for commercial activities within their jurisdiction, state administrative charges, state criminal background checks (to include fingerprinting), specific training for Custody Evaluators and/or Parenting Coordinators, additional educational requirements, state certifications, etc. By submitting, I agree to the above terms of use.