MWI Outsourced Organizational Ombuds Panel Application Form

The purpose of this application is to determine your interest and qualifications to work as an independent contractor with MWI as a member of our outsourced organizational ombuds panel. Please note that MWI only qualifies and contracts with individual ombuds and not with firms or organizations.

MWI is looking for ombuds with at least five years’ experience as an outsourced or internal ombuds with corporate, academic, governmental, and/or non-profit clients. Ombuds panel members are paid a rate of up to $170 per hour depending on their experience level for all billable work with MWI’s clients. There is no application fee or annual fee to be a member of MWI’s ombuds panel.

Acceptance as an independent contractor is not guaranteed solely by meeting the qualifications delineated in the application below. Final acceptance may also entail a phone or online interview at MWI’s sole discretion. Applicants will be notified about the outcome of their application by email.

Questions about this application and the requirements should be sent by e-mail to Chuck Doran, Ombuds & Executive Director, at cdoran@mwi.org. Thank you.

MWI Outsourced Ombuds Panel Application Form

1. First and Last Name*
2. Address*
3. City*
4. State*
5. Zip Code*
6. Phone*
7. Email*
8. Web site (if available)
Experience and background
9. Please describe your experience as an ombuds and include start and end dates, types of clients, and other details such as whether you were an in-house or outsourced ombuds.
10. Have you been trained as an ombuds (e.g., IOA's Ombuds 101 or the Foundations Course)? If so, when? If you have been trained as a mediator, please provide the name of the training provider, completion date(s), and total number of training hours completed, and your experience as a mediator. Please include information about any advanced ombuds and mediation trainings you have completed as well.
11. MWI's ombuds panel members are required to practice according to IOA's Standards of Practice (SoP) and Code of Ethics (CoE). Will you commit to practicing to IOA's SoP and CoE if accepted as a member of MWI's outsourced ombuds panel?*
- Yes
- No
12. Are you an IOA Certified Organizational Ombuds Practitioner (CO-OP)?
- Yes
- No
13. Have you had any formal complaints filed against you in your role as an ombuds or provider of ADR services? If so, please describe the nature of each complaint and the outcome.
14. Please describe your comfort and experience providing ombuds services online, in-person, or both.
15. Please provide the names and contact information of two professional references who are familiar with your work as an ombuds.
16. Please list the language(s) you can communicate with visitors in (speaking and writing).
17. Please provide a 6 to 8 sentence bio that summarizes your experience as an ombuds and ADR professional.
See sample bios at https://www.mwi.org/ombuds
18. Do you have questions or is there anything else that you would like us to know?
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MWI Outsourced Organizational Ombuds Panel Application Form

MWI Outsourced Ombuds Panel Application Form

Experience and background