Attachment_1__ResumeTemplate_EMS_RFP__15F067181200R0000009.docx

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Emergency Medical Services
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15F067181200R0000009
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Attachment 1 - Resume Template

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MANDATORY USE RESUME (CURRICULUM VITAE) TEMPLATE

NOTE: DO NOT ALTER THE SEQUENCE!

NAME

BIRTHPLACE

CURRENT CLINICAL POSITION

MEDICAL FACILITIES WHERE PRACTICE PRIVILEGES ARE CURRENTLY HELD

PREVIOUS CLINICAL POSITIONS HELD (In descending chronological order)

ACADEMIC APPOINTMENT(S) HELD

EDUCATION (In descending chronological order including the following for each entry:

Institution Name, Location, Dates of Attendance and Degree Received)

OPERATIONAL MEDICAL EXPERIENCE

(ex: Military, Law Enforcement, Governmental)

MEDICAL LICENSES

(Include all current and previously held medical licenses including the following for each entry: Dates Held, Unrestricted or Restricted)

BOARD CERTIFICATIONS

(‘Board Certification” refers to boards recognized by the American Board ofMedical Specialties. Include certification effective dates for each entry.)
CERTIFICATION IN ADVANCED CARDAC LIFE SUPPORT AND ADVANCED TRAUMA LIFE SUPPORT(Include date of most recent certification)

CONTACT INFORMATION

(include email, telephone and mailing address) SUPPORTING DOCUMENTS (photocopy)

All Current Medical License(s)
Board Certification (must be current)
Advanced Cardiac Life Support
Advanced Trauma Life Support

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