CMH EMS Education Manual
Complete this form and print it. Note: Only your name is shared with anyone besides management.
| Name: | (last): (first): |
| Hospital orientation date: | |
| Home physical address: | (street): (city): (state): (zip): |
| Preferred email address: | |
| Mobile phone: | (number): (carrier): |
| FCC callsign (if you are an amateur radio operator): | |
| Emergency contact: | (name): (phone number): |
| CMH employee number: | |
| CMH employee username (computer login): | |
| PHS DSN (radio number will be assigned): | |
| Completion signatures | Initial onboarding system entry completed Final onboarding system entry completed |
Return to Education Manual Table of Contents.
| CMH EMS Education Mission: "Provide state-of-the-art education to develop and support a team of exceptional emergency medical professionals." |
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CMH EMS Education Manual is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Based on a work at http://ozarksems.com/edman-4-240.php. |