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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

Advisor-Supervised Case

Candidate did Case Management

# Party Feedback Forms Rec'd

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?

2. Who first contacted you for conciliation services?

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

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

5. Did you include non-parties in the process? If so, who and why?

6. Which forms were used and why did you use them?

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

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

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

10. Who supported you in prayer for this case? What Scripture was your shield?

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)?

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

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?

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?

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

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?

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

8. NEXT STEP. How did you help them prepare for the next steps after coaching? How did you determine if each party was ready?

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:

If there were additional conciliators, what were their specific roles and responsibilities on this case?

What did you and your advisor discuss prior to the case? What considerations did your advisor offer?

1. LOGISTICS. Describe the mediation setting and seating arrangements. How did each party respond?

2. AGENDA and GROUND RULES. What questions or concerns did the parties express regarding the process and ground rules?

3. DEVOTION. Describe the unique biblical focus of this case. What Scripture did you use for your devotion?

4. OPENING STATEMENTS. How did you determine who would share the first opening statement? Describe your experience and how the parties responded to opening statements.

5. STORYTELLING. How did you structure storytelling? How did the parties respond? Were there any particularly challenging aspects to storytelling? What were they?

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

7. PRIVATE MEETINGS. Describe each of your private meetings. Why did you elect to have a private meeting? What issues did you address, and what Scriptures were used during private meetings? What homework did you leave with the parties outside the private meeting?

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?

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?

10. PROBLEM IDENTIFICATION & CLARIFICATION: Describe how you led the parties to identify the key issues. Did you prepare an issues statement? Why or why not?

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

12. EXPLORE SOLUTIONS. What process did you follow in leading the parties to explore solutions? How effective do you think this process was? Were than any surprise solutions offered?

13. LEAD TO AGREEMENT. How did you lead the parties to agreement? Were you able to help the parties draft a written agreement before the conclusion of the mediation? If not, describe the process followed in completing the written agreement.

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

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

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.

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?

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

3. What emotions did you experience during this process?

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