D.6 ATTACHMENT 6 - CANDIDATE PACKET COVER SHEET.docx

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Attached to
Q527--LOCUM-Chief Therapeutic Medical Physicist Rad-Onc-614 Onsite Services
Solicitation number
36C24923R0036
Issued by

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This document is a candidate packet cover sheet for a solicitation from the Department of Veterans Affairs Veterans Health Administration seeking an onsite board certified Chief Therapeutic Medical Physicist in Radiation Oncology at the Memphis VA Medical Center. Contractors must include a resume and CV with detailed education and experience for each candidate. References and a summary of qualifications are also required, including degree, board certification, and proof of supplemental insurance. Additionally, contractors must provide an evaluation statement of the candidate's technical proficiency and a criminal background check statement. Incomplete packets will be deemed non-responsive.

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36C24923R0036-Onsite Board Certified Chief Therapeutic Medical Physicist Radiation Oncology – Memphis VA Medical Center

D.6 CANDIDATE PACKET CONVER PAGE

CHIEF MEDICAL PHYSICS I RADIATION ONCOLOGY

MEMPHIS VAMC

CANDIDATE PACKET COVER PAGE

CANDIDATE NAME: _

CONTRACTOR:

AVAILABILITY DATE:

VET-PRO CERTIFIED/ELIGIBLE? Y N

RESUME OR CV INCLUDED? Y N

(includes detailed list of education, training, advanced certification(s), and previous work history)

3 WORK REFERENCES INCLUDED? Y N

(Shall be from a Chief of Services or position in a supervisory capacity who is directly responsible for reviewing all work.)

SUMMARY LIST INCLUDED? Y N

(Shall provide copy of degree attained, board certification and/or registration with expiration dates, and proof of supplemental insurance. The following documents should be completed by company representative and submitted with proposal completed: signed QASP, Rules of Behavior, Certification of Immigration, Conflict of Interest, and Cover Sheet)

EVALUATION STATEMENT? Y N

(contractor statement assuring the individual’s knowledge, experience and competence are appropriate for his/her assigned responsibilities (Technical Proficiency) as required by this solicitation)

CRIMINAL CHECK STATEMENT? Y N

(contractor statement verifying candidate to have a clean criminal background check and pre-employment verification of no convictions for abuse or neglect)

*This cover page must be included for every candidate packet submitted with proposal. Incomplete packages shall be deemed non-responsive or ineligible.

File details come from the government source that posted it. Updated .