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OxCHEPS Higher Education Mediation Service
Arranging an OxCHEPS mediation
The OxCHEPS Mediation Service will maintain the confidentiality of the material submitted via completion of this Form, subject to copying it as necessary to one or more of its mediators and on the assumption that each and every party to a dispute approaching OxCHEPS has shared with the other party/parties the information given in jointly completing this Form in order to seek mediation. OxCHEPS undertakes to provide one of its mediators, but is not able to guarantee it can do so; nor is it able to control, still less guarantee, the success of the mediation process if the parties and the OxCHEPS-identified mediator in due course agree to embark upon mediation.
Please complete in BLOCK CAPITALS/UPPER CASE. Once the SEND button (at the bottom) has been clicked a confirmation copy of this Form will appear which you should print out, sign and post to OxCHEPS – see final paragraph.
1. Please supply your contact details:
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Name |
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Address |
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Email |
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Telephone:
Home Work Mobile |
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2. Please supply details of the other party/parties in this dispute:
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Name |
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Address |
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Email |
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Telephone:
Home Work Mobile |
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Name |
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Address |
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Email |
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Telephone:
Home Work Mobile |
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3. Do you have the agreement of the other party/parties to this dispute to approach the OxCHEPS Mediation Service?
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Yes |
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Please now go to Question 4 |
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No |
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Please now obtain the necessary agreement(s) before proceeding further… |
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4. Have both/all parties read the ‘What we offer’ and the ‘What is ‘mediation’?’ sections of this web-page?
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Yes |
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Please now go to Question 5 |
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No |
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Please now ensure that you are familiar with the contents of these two sections before proceeding | What we offer | What is ‘mediation’? | |
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5. Please summarise the issues in your dispute in no more than 100 words (NB: TO BE COMPLETED BY EACH PARTY TO THE DISPUTE)
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Party 1 Name:
Summary:
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Party 2 Name:
Summary:
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Party 3 Name:
Summary:
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6. Please give consent for this summary and the name and address of your party to be shown to OxCHEPS mediators in confidence for the purpose of ensuring that the most appropriate mediator is selected. |
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Party 1 |
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Yes |
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Party 2 |
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Yes |
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Party 3 |
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Yes |
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7. Please confirm (each party) that you now wish OxCHEPS to approach members of its Panel to find you a mediator.
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Party 1 |
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Yes |
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Party 2 |
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Yes |
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Party 3 |
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Yes |
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8. Please list, if any, the preferred mediator(s) – as agreed by all parties to the dispute - from those listed in the OxCHEPS Panel.
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First choice (of all parties)
Reference number: Name:
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Second choice (of all parties)
Reference number: Name:
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Third choice (of all parties)
Reference number: Name: |
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9.Please confirm that you are both/all willing for OxCHEPS to approach other mediators on its list if none of these preferred choices is able to act.
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Yes, confirm |
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10. The fee for the OxCHEPS Mediation Service in finding a mediator is £100, returnable if OxCHEPS is unable to provide a mediator acceptable to both/all the parties. Please upload this Form to OxCHEPS [Click the Send button below]. The confirmation page which follows will contain the details you provided. Please print that out, sign it and send the hard copy of this Agreement (enclosing a cheque for £100, made payable to ‘New College, Oxford’) to: OxCHEPS, c/o The Bursar, New College, OXFORD, OX1 3BN. (NB: Where the dispute is between a student/employee and a HEI, we would expect the HEI to make the payment for mediation and then to recover up to half the cost from the other party on a basis to be agreed as part of the mediation.) Once OxCHEPS has provided a mediator it is between the parties and the mediator to agree on his/her mediation fee, and for the former to make direct payment to the latter. Such fees are usually based on a daily rate set by each mediator, and reasonable travel/accommodation/subsistence expenses will also be charged: again, it is likely that the mediator will expect to be paid by the HEI, leaving it to share the cost as it agrees with the other party/parties. The OxCHEPS Mediation Service does not need to levy VAT, and nor do most of its mediators unless they are operating as part of a legal firm or as practising barristers.
BEFORE POSTING THE PRINTABLE CONFIRMATION VERSION OF THIS COMPLETED FORM (WHICH WILL BE DISPLAYED ONCE THE SEND BUTTON BELOW HAS BEEN CLICKED) PLEASE WILL BOTH/ALL PARTIES SIGN IT TO CONFIRM THEIR HAVING PROVIDED THE VARIOUS CONSENTS REQUIRED IN CERTAIN QUESTIONS ABOVE.
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Party 1
Signature:
Name in BLOCK CAPITALS:
Party 2
Signature:
Name in BLOCK CAPITALS:
Party 3
Signature:
Name in BLOCK CAPITALS:
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Date form posted:
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