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FAST PILOT PROGRAM PARTICIPATION AGREEMENT

CASE NAME:

EEOC DOCKET NUMBER(S):

AGENCY CASE NUMBER(S):

The agency/complainant (hereinafter "party") has voluntarily agreed to participate in the Office of Federal Operations' Federal Appellate Settlement Team (FAST) pilot program in an effort to resolve the above-referenced matter through mediation.

The party understands that mediation is not a legal proceeding and that the neutrals will not provide legal advice. The party agrees that all matters discussed during the mediation session are confidential and cannot be used as evidence in any subsequent administrative or judicial proceeding, except in matters involving fraud, waste, abuse, criminal behavior, or threats of imminent physical harm. Additionally, the party agrees not to attempt to subpoena the neutrals or any documents prepared by or submitted to the neutrals. The party understands that the neutrals will destroy their notes following the proceeding.

The party agrees to participate in good faith during the mediation. The party also understands that neither party is bound by anything said or done at the mediation unless an agreement is reached and executed in writing by the parties. The neutrals have the right to end the mediation at any time if the neutrals feel that the case is inappropriate for mediation or that further discussions would not be helpful. If the parties are unable to resolve their dispute, the appeal will be referred back to the Appellate Review Program for determination. The case will return to its prior position in the administrative process.

The party designates the following individual to act as its representative during the settlement process. If the complainant is proceeding without representation, please provide the complainant's contact information below.

NAME:     ________________________________________

ADDRESS: ________________________________________

________________________________________
 
________________________________________

TELEPHONE:

(Work):  _____________________________________________
 
(FAX): _____________________________________________
 
(E-Mail): _____________________________________________ 

By signature below, I acknowledge that I have read and understand the mediation process described in the participation agreement and the mediation memorandum. I agree to conduct the mediation according to the terms of this participation agreement and the mediation memorandum.

                       ____________________________________
SIGNATURE OF PARTY


____________________________________
PRINT NAME


____________________________________
TITLE (if applicable)


  ____________________________________
DATE



Please sign and fax this agreement to EEOC as soon as possible!