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ICC Certification Case Reporting

Make every effort to submit your case reports within 30 days of services ending. Case reports are carefully reviewed by a Candidate Review Team prior to graduation so a detailed report is the best way to communicate the dynamics of the peacemaking skills used. Copies are automatically sent to you and your Advisor.

Advisor Approvals

Total hours approved for case:

Case is APPROVED

Candidate was LEAD on this case

# Party Feedback Forms Rec'd

Advisor-Supervised Case

Candidate did Case Management

Your candidate has been notified

Advisor Approval Notes (please note strengths & weaknesses)

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Candidate Email Address

Total hours of conciliation:

Your advisor has been notified

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Case Begin Date

Case End Date

Privacy Policy: Do not use the actual names of the parties. But be consistent in the names that you do use for this report and your uploaded report summary. Any private case documents and files must be kept secure or destroyed after follow-up is complete. Please consult with your advisor or the ICC office if you have any questions.

First Names of Parties

Case Management Questions

Case management is everything that precedes actual conciliation and is often a significant preparation for both conciliator and the parties.

1. How did you hear about the case, who contacted you?

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2. Who first contacted you for conciliation services? (THIS QUESTION IS DEPRECATED)

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3. Did your intake conversation help move the party toward conciliation services? How?

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4. Did you assess the party(s) spiritual maturity, nature of the conflict, and issues to be resolved? How?

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5. Were non-parties included in the process? If so, who and why?

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6. Which forms were used?

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7. Where were the services provided? How did you determine the location?

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7. Was the church or pastor involved? How? What conversations did you have with the parties regarding pastoral awareness or involvement?

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8. Did you explain the conciliator's role? How did you avoid misunderstanding or inflated expectations?

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9. Did anyone support you in prayer for this case? Were any Scriptures helpful for you?

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Pre-mediation / Coaching Questions

Conflict Coaching cases do not apply toward Supervised case requirements. However, Pre-Mediation coaching is essential and counts toward your total mediation case hours.

How many coaching hours were provided?

1. ISSUES: What were the issues raised by each party at this stage (both substantive and personal)?

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2. QUESTIONS: Describe the water-ski and idol-exposing questions that you used.

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3. HEART ISSUES. What were the heart issues that you identified in conflict coaching for each party? What led you to believe these were issues of the heart?

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4. SCRIPTURE. What scriptures did you introduce in conflict coaching? How did you use it? Why did you use each passage? How did the party respond?

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5. PROCLAIMING FORGIVENESS. Did the party discover their idols? If so, how did you proclaim forgiveness? What was their reaction?

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6. HOMEWORK. What homework assignments did you use for each party? How well were assignments completed by each party? How did each party respond to the homework?

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7. OUTCOMES. What were the outcomes of the coaching or pre-mediation coaching for each party?

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8. NEXT STEP. What were the next steps you proposed? If this was pre-mediation coaching, how did you help them prepare & how did you know they were ready for mediation?

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Mediation Case Questions

Continue completing this case form for all mediation cases, independent or supervised. You need to be the lead conciliator on two (2) cases submitted and you need to complete the intake for two (2) cases submitted.

List the names of anyone who assisted you as conciliator on this case & their role:

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If there were additional conciliators, what were their specific roles and responsibilities on this case? (THIS QUESTION IS DEPRECATED)

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Did you discuss this case with your advisor prior to the case? What considerations did your advisor offer?

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1. LOGISTICS. Describe the mediation setting and seating arrangements. What were the parties' demeanor at the start of the mediation?

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2. AGENDA and GROUND RULES. Describe.

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3. DEVOTION. Describe the unique biblical focus of this case. Describe.

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4. OPENING STATEMENTS. Describe.

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5. STORYTELLING. Describe.

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6. HEART ISSUES. What heart issues were exposed during storytelling? Were they different than what you experienced in pre-mediation conflict coaching?

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7. PRIVATE MEETINGS. Were private meetings utilized. If so, why did you elect to have a private meeting? What issues did you address, and what Scriptures were used? What homework did you leave with the parties outside the private meeting?

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8. SCRIPTURES. What Scriptures did you use during the process? How did you use them? Why did you use each passage? How did each party respond?

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9. CONFESSIONS. Describe any confessions offered during the process. How did the other party respond? Did you or the other party Proclaim God's Forgiveness to the confessor?

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10. PROBLEM IDENTIFICATION & CLARIFICATION: Describe.

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11. ISSUES. What were the issues identified in the mediation (both substantive and personal)? What were the parties’ positions and interests.

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12. EXPLORE SOLUTIONS. Describe.

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13. LEAD TO AGREEMENT. Describe.

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14. Documents - Please describe any Case documents given to the parties.

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15. FINAL FOLLOW-Up. How will [or did] you encourage each party after the case concluded?

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16. ARBITRATION CASES Only. Describe additional details and issues you considered, plus the process you used to determine outcome. Send in any arbitration documents you completed.

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Personal Reflection

This section is one of the most important and helps your advisor and the Review Team understand your perspective and growth as a conciliator.

1. What did you learn from this experience?

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2. What would you do different if you could do it over again?

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3. What emotions did you experience during this process?

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4. If you worked with a co-conciliator, describe your experience.

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5. What are some areas that you'd like additional training in? What new learning goals do you have?

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Institute for Christian Conciliation

ICC Certification Case Reporting

Advisor Approvals

Case Management Questions

Pre-mediation / Coaching Questions

Mediation Case Questions

Personal Reflection