IMI Qualified Self Registration

Self-Register as an IMI Qualified Mediator

This form is exclusively for individuals who have completed their training program with an RMTP to self-register for IMI Qualified status.

First Name (required)

Last Name (required)

E-mail Address (required)

IMI Recognized Mediator Training Program (RMTP) (required)

The organization that trained you to the standard of becoming IMI Qualified. Also referred to as "RMTP".

Course Certificate (required)

Upload one course certificate file showing you completed the approved course. PDF, PNG, JPG accepted.

Username (required)

Enter a memorable username. Avoid special characters. This username cannot be changed once created.

Password (required)

Use 8 to 30 characters with upper and lower case letters, a number, and a symbol.

Confirm Password (required)

Base location (required)

Your primary business location

Select where you should appear in search results using map view.

Diversity data (optional - not publicly visible)

The purpose of collecting this data is to create overall annual statistics of the IMI mediator base (e.g. average age of mediator; gender balance of IMI listed mediators, and broken down to the various types of listings).

Gender

Birth Date

I identify as having

Ethnic, racial, or cultural minority status Indigenous, First Nations, or Aboriginal status

Select all that apply.

Please confirm that you agree to our privacy policy.

Please confirm that you agree to the IMI Terms of Use.