Welcome to the Canadian International Internet Dispute Resolution Centre’s panelist application page.

There is no time limit on how long you can take to fill out a nomination online; however, if you navigate away from the page your information will not be retained.

To make the process easier for you, we suggest you prepare your supporting documents, such as your CV, two letters of recommendation, a personal letter explaining why you wish to join the CIIDRC Panel, a copy of your professional liability insurance, and a copy of an identification document with your photograph, in advance.

If at any time you have a problem or question about the online application process, please Contact Us.

Panelist Application Form

First Name *

Last Name *

Honorary

Contact Information

Contact Information

Provide your contact information and preferred method of communication. This information will be kept private and not displayed on your Panelist profile.

Email Address *

Phone Number *

Mailing Address *

Preferred Method of Communication *

• Email
• Mail
• Phone

Professional Information

Professional Information

Provide your professional information and the location you do business from. This information will be displayed on your Panelist profile.

Current Position

Profession(s)

Firm / Company Name

Provide a name for the panelists office.

Use Mailing Address

YesNo

Use the City, Province / State and Country from my Mailing Address on my profile.

City *

Prov / State *

Country *

Profile Information

Profile Information

Provide information for your Panelist profile. This information will be shared publicly on the website.

Consideration for the following panel(s) *

• UDRP
• CIRA

Professional Designation(s) / Certification(s)

Language Proficiencies *

1	Language * Provide the language you're proficient in. Proficiency * Indicate if you are fluent or have read-only abilities for the languages you provided. Fluent Read-only Supporting Information Qualify your proficiency in this language.
1	Language * Provide the language you're proficient in. Proficiency * Indicate if you are fluent or have read-only abilities for the languages you provided. Fluent Read-only Supporting Information Qualify your proficiency in this language.

Add Language

Please provide the details and current status of your professional certification or license:

How many times have you acted as a Chair of a Panel?

Has your professional certification or license ever been suspended or revoked?

YesNo

Please specify the ADR organizations you are a member of;

Are you interested in writing articles or presenting for CIIDRC?

YesNo

Are you a member of other ADR organizations?

YesNo

Short description *

Professional Experience *

Publications *

Selected Publications & Articles

Arbitration Experience *

Dispute Resolution Experience and Training - Number of UDRP and/or CDRP arbitrations conducted and decisions rendered.

Professional and Other Activities *

Selected Honours, Awards and/or Professional Associations / Memberships

Biographical Information

Biographical Information

The following information will appear on our website, a strict limit of words will apply.

Practice Areas *

Academic Qualifications

Additional Information

Please provide any relevant information which supports your application.

Supporting Information

Supporting Information

Please provide photo, a copy of your recent CV and any additional relevant information.

Curriculum Vitae *

File name:

File size:

Profile Photo *

Identification Message

A copy of an identification document with a photograph (ex. Drivers license)

Identification *

Letters of Recommendation *

	Letter of Recommendation *
1	File name: File size:
2	File name: File size:
1	File name: File size:

Personal Letter explaining why you wish to join the CIIDRC Panel *

File name:

File size:

Declaration

Declaration

*

• I, the undersigned, herby confirm that the above information is true, complete and accurate to the best of my knowledge. I agree that the information contained may be published on the CIIDRC website. I apply for admittance as a panelist for CIIDRC.

Period of Panel Appointment

Note: Period of Panel Appointment is valid for one year from January 1^st – December 31^st

Note: Upon submission of this application you will be charged a $100 CAD (plus relevant sales tax(es), if/as applicable) Application Fee. Only upon successful payment will CIIDRC review your application.

A Panel Annual Fee (ending December 31st) is $320 CAD (plus relevant sales tax(es), if/as applicable), payable to the Vancouver International Arbitration Centre upon notification of acceptance. An invoice will be provided and made available within your account portal. The invoice will be prorated if a Panelist joins the Panel after January 31st.

Payment options available online at ciidrc.org

Applicant Signature *

Clear

To create your mark with a mouse click and hold, then move your cursor.
To create your mark on a touchscreen, drag your finger on the screen.

Applicant Printed Name *

Applicant Signed Date

Auto-populate with datetime of signature.

Applicant Signed IP Address

Auto-populate with IP Address of signature.

Applicant Signed User Agent

Auto-populate with User Agent of signature.

Validate Email

You are required to pay the filing fee before the Centre will examine your case.