36C10X20R0022-007.pdf

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R431--ADR Mediation Services (VA-20-00003669) Federal contract opportunity
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36C10X20R0022
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Department of Veterans Affairs Strategic Acquisition Center Frederick

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36C10X20R0022 Attachment E CO_MEDIATOR_EVALUATION-ORM.pdf

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8. INFORMATION SHARING

7. INTRODUCTION

CO-MEDIATOR EVALUATION

VA FORM

SEP 2007 0890C AdobeLiveCycleDesigner 7.1

INSTRUCTIONS: To assess the skills and abilities of VACO co-mediators, the lead mediator is requested to complete this form and share appropriate feedback with the co-mediator at the conclusion of the mediation session. Please return this form to the VACO Alternative Dispute Resolution (ADR) Coordinator at 1575 I Street, NW, 10th Floor, Washington, DC 20005 or by fax at (202) 501-2885.

1. NAME OF LEAD MEDIATOR 2. NAME OF CO-MEDIATOR 3. DATE OF MEDIATION

4A. DID THE LEAD AND CO-MEDIATOR SPEND TIME PREPARING

IN ADVANCE OF THE MEDIATION SESSION?

NO YES (If "YES," complete item 4B.)

4B. APPROXIMATELY HOW MUCH TIME WAS SPENT IN

ADVANCED PREPARATION?

5. HOW LONG DID THE MEDIATION

SESSION LAST?

6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE?

1 2 3 4 5 6 7

1 - NEEDS IMPROVEMENT

2 - SATISFACTORY

3 - EXCELLENT

A. RATING

INSTRUCTION: For each category below, please rate the Co-Mediator's level of skill and provide comments.

B. CATEGORY TASKS

Provided welcome and opening comments.

Explained mediation process.

Explained confidentiality.

Clarified role of participants.

Established ground rules.

Appeared sensitive to parties physical and emotional comfort.

C. COMMENTS

1 - NEEDS IMPROVEMENT

2 - SATISFACTORY

3 - EXCELLENT

Engaged the parties.

Understood the issues.

Accurately and briefly summarized information.

Balanced time and focus between parties.

9. ISSUE CLARIFICATION

3 - EXCELLENT

1 - NEEDS IMPROVEMENT

2 - SATISFACTORY

Asked appropriate questions.

Reframed statements and issues.

Identified interests.

Identified common ground.

10. GENERATION OF OPTIONS

3 - EXCELLENT

1 - NEEDS IMPROVEMENT

2 - SATISFACTORY

Organized and prioritized issues.

Focused on present and future needs instead of positions.

Elicited options and explored possibilities.

Overcame impasse, resistance, or difficult agendas.

Demonstrated appropriate use of caucus.

11. CLOSURE

3 - EXCELLENT

1 - NEEDS IMPROVEMENT

2 - SATISFACTORY

Facilitated negotiations.

Assisted parties with reality testing.

Assisted parties in developing a fair and balanced agreement.

Drafted clear and detailed agreement.

Discussed options for non-compliance and resolving future conflict.

Developed rapport with the parties, created positive environ-ment.

Confident and effective in managing communication and emotion.

Maintained neutrality and avoided giving advice.

Respected differences of opinion.

Provided appropriate information.

13. COMMUNICATION SKILLS

12. PERSONAL AND PROFESSIONAL QUALITIES

1 - NEEDS IMPROVEMENT

2 - SATISFACTORY

3 - EXCELLENT

A. RATING B. CATEGORY TASKS C. COMMENTS

1 - NEEDS IMPROVEMENT

2 - SATISFACTORY

3 - EXCELLENT

Demonstrated appropriate gestures and eye contact.

Demonstrated appropriate use of voice, tone, volume, and clarity.

Demonstrated appropriate verbal content and timing.

Demonstrated good listening skills.

Displayed flexibility and used creative strategies.

14A. HAVE YOU CO-MEDIATED WITH THE MENTEE BEFORE?

YES (If "YES," complete item 14B.)NO

14B. WHAT IMPROVEMENTS HAVE YOU NOTED?

15. WHAT ADDITIONAL TRAINING/DEVELOPMENT, IF ANY, WOULD YOU RECOMMEND FOR THE MENTEE?

VA FORM 0890C, SEP 2007, PAGE 2

7. INTRODUCTION

7. INTRODUCTION

..\logos\FORMLOGO.jpg

CO-MEDIATOR EVALUATION

VA FORM

SEP 2007

V.A. Form 0890 C, September 2007 0890C AdobeLiveCycleDesigner 7.1 Adobe Live Cycle Designer 7.1 INSTRUCTIONS: To assess the skills and abilities of VACO co-mediators, the lead mediator is requested to complete this form and share appropriate feedback with the co-mediator at the conclusion of the mediation session. Please return this form to the VACO Alternative Dispute Resolution (ADR) Coordinator at 1575 I Street, NW, 10th Floor, Washington, DC 20005 or by fax at (202) 501-2885.

1. NAME OF LEAD MEDIATOR

2. NAME OF CO-MEDIATOR

3. DATE OF MEDIATION

4A. DID THE LEAD AND CO-MEDIATOR SPEND TIME PREPARING

IN ADVANCE OF THE MEDIATION SESSION?

4B. APPROXIMATELY HOW MUCH TIME WAS SPENT IN

ADVANCED PREPARATION?

4B. APPROXIMATELY HOW MUCH TIME WAS SPENT IN ADVANCED PREPARATION?

5. HOW LONG DID THE MEDIATION

SESSION LAST?

6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE?

A. RATING

A. RATING

INSTRUCTION: For each category below, please rate the Co-Mediator's level of skill and provide comments.

INSTRUCTION: For each category below, please rate the Co-Mediator's level of skill and provide comments.

B. CATEGORY TASKS

B. CATEGORY TASKS

Provided welcome and opening comments.

Explained mediation process.

Explained confidentiality.

Clarified role of participants.

Established ground rules.

Appeared sensitive to parties physical and emotional comfort.

Provided welcome and opening comments. Explained mediation process. Explained confidentiality. Clarified role of participants. Established ground rules. Appeared sensitive to parties physical and emotional comfort.

C. COMMENTS

C. COMMENTS

Engaged the parties.

Understood the issues.

Accurately and briefly summarized information.

Balanced time and focus between parties.

Engaged the parties. Understood the issues. Accurately and briefly summarized information. Balanced time and focus between parties.

9. ISSUE CLARIFICATION

9. ISSUE CLARIFICATION

Asked appropriate questions.

Reframed statements and issues.

Identified interests.

Identified common ground.

Asked appropriate questions. Reframed statements and issues. Identified interests. Identified common ground.

10. GENERATION OF OPTIONS

10. GENERATION OF OPTIONS

Organized and prioritized issues.

Focused on present and future needs instead of positions.

Elicited options and explored possibilities.

Overcame impasse, resistance, or difficult agendas.

Demonstrated appropriate use of caucus.

Organized and prioritized issues. Focused on present and future needs instead of positions. Elicited options and explored possibilities Overcame impasse, resistance, or difficult agendas Demonstrated appropriate use of caucus.

11. CLOSURE

Facilitated negotiations.

Assisted parties with reality testing.

Assisted parties in developing a fair and balanced agreement.

Drafted clear and detailed agreement.

Discussed options for non-compliance and resolving future conflict.

Developed rapport with the parties, created positive environ-ment.

Confident and effective in managing communication and emotion.

Maintained neutrality and avoided giving advice.

Respected differences of opinion.

Provided appropriate information.

13. COMMUNICATION SKILLS

13. COMMUNICATION SKILLS

12. PERSONAL AND PROFESSIONAL QUALITIES

12. PERSONAL AND PROFESSIONAL QUALITIES

A. RATING

B. CATEGORY TASKS

C. COMMENTS

Demonstrated appropriate gestures and eye contact.

Demonstrated appropriate use of voice, tone, volume, and clarity.

Demonstrated appropriate verbal content and timing.

Demonstrated good listening skills.

Displayed flexibility and used creative strategies.

14A. HAVE YOU CO-MEDIATED WITH THE MENTEE BEFORE?

14B. WHAT IMPROVEMENTS HAVE YOU NOTED?

14B. WHAT IMPROVEMENTS HAVE YOU NOTED?

15. WHAT ADDITIONAL TRAINING/DEVELOPMENT, IF ANY, WOULD YOU RECOMMEND FOR THE MENTEE?

15. WHAT ADDITIONAL TRAINING/DEVELOPMENT, IF ANY, WOULD YOU RECOMMEND FOR THE MENTEE?

VA FORM 0890C, SEP 2007, PAGE 2

V.A. Form 0890 C, September 2007, Page 2

4A. DID THE LEAD AND CO-MEDIATOR SPEND TIME PREPARING IN ADVANCE OF THE MEDIATION SESSION? NO checkbox: 1
4A. DID THE LEAD AND CO-MEDIATOR SPEND TIME PREPARING IN ADVANCE OF THE MEDIATION SESSION? YES checkbox, If YES, complete item 4B.: 0
6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE? 1 checkbox: 0
6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE? 2 checkbox: 0
6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE? 3 checkbox: 0
6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE? 4 checkbox: 0
6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE? 5 checkbox: 0
6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE? 6 checkbox: 0
6. WHICH CO-MEDIATION CASE IS THIS FOR THE MENTEE? 7 checkbox: 0
1 - NEEDS IMPROVEMENT: 0
2 - SATISFACTORY: 1
3 - EXCELLENT: 0
1 - NEEDS IMPROVEMENT: 0
2 - SATISFACTORY: 0
3 - EXCELLENT: 1
3 - EXCELLENT: 1
1 - NEEDS IMPROVEMENT: 0
2 - SATISFACTORY: 0
3 - EXCELLENT: 1
1 - NEEDS IMPROVEMENT: 0
2 - SATISFACTORY: 0
3 - EXCELLENT: 0
1 - NEEDS IMPROVEMENT: 0
2 - SATISFACTORY: 1
1. Name of Lead Mediator: Angelsa Beccles
1. Name of Co-Mediator: BJ Richardson
3. Date of Mediation. Enter 2-digit month, 2-digit day and 4-digit year.: 2019-07-16
TextField4: N/A
5. HOW LONG DID THE MEDIATION SESSION LAST?: 4 hours
Comments:
Comments:
Comments:
Comments:
Comments:
1 - NEEDS IMPROVEMENT: 0
2 - SATISFACTORY: 0
3 - EXCELLENT: 1
1 - NEEDS IMPROVEMENT: 0
2 - SATISFACTORY: 0
3 - EXCELLENT: 1
14A. HAVE YOU CO-MEDIATED WITH THE MENTEE BEFORE? YES checkbox, if YES, complete item 14B.: 0
14A. HAVE YOU CO-MEDIATED WITH THE MENTEE BEFORE? NO checkbox: 1
Comments:
Comments:
14B. WHAT IMPROVEMENTS HAVE YOU NOTED?:
15. WHAT ADDITIONAL TRAINING/DEVELOPMENT, IF ANY, WOULD YOU RECOMMEND FOR THE MENTEE?:

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