SCEMSA Instructor Interest
To register interest in being a potential SCEMSA instructor of online education, please complete the following form. Following submission, you will be contacted by the SCEMSA education coordinator Austin Mandeville to discuss submission requirements.
Name
*
First Name
Last Name
Certifications and Credentials
Ex: EMT, NREMT-P, I/C, BS
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Biography (3-4 sentences)
*
Interested Topic Categories (Select all that apply)
*
EMS Preparatory (Anatomy and Physiology, Medical/Ethical/Legal Issues, Documentation, Provider Wellness, Documentation Etc.)
EMS Pharmacology ALS
EMS Pharmacology BLS
EMT Basic Assessment
Advanced/Paramedic Assessment
Airway
Cardiology
Medical Emergencies (I.E. Hematology, Abdominal, Endocrine, Renal, Etc.)
Neonatal Resuscitation
Pediatric Emergencies
Obstetric Emergencies
Trauma
Headshot/Biography Photo Upload
*
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CV/Resume Upload
*
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