***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit.***
1
Do you have a bachelor's degree in emergency management, health services, emergency medical services, education or related discipline? Please indicate the discipline below.
2
Do you have (3) years of experience in developing and delivering training courses and applicable exercise programs?
Yes
No
3
Do you have experience in consensus building in a multidisciplinary and/or multi-jurisdictional environment? If so, please describe your experience in detail. If you do not have experience in this area, indicate N/A.
4
Do you have experience in developing lesson plans and curriculum for trainings? If so, please describe your experience in detail. If you do not have experience in this area, indicate N/A.
5
Are you certified as a trainer or instructional designer?
Yes
No
6
Please describe your experience in creating training exercises to assess the capabilities of participants. If you do not have this type of experience, indicate N/A.
7
Please describe your experience as a responder in law enforcement, fire, EMS, public health, emergency management, or a hospital setting. If you do not have this type of experience, indicate N/A