2019 Nursing CURRICULUM VITAE - PSC



RANK FIRST MIDDLE LAST NAMEDegree(s) & Certificate(s)OPDIV NameWork Mailing Address Work Email AddressWork Phone NumberUSPHS Call to Active Duty DateMM/DD/YYYYLast Temporary Promotion DateMM/DD/YYYYUSPHS CAREER PROGRESSION OVERVIEWDate(s)Temporary Rank & GradeBillet GradeAgency TitleTitle in Personnel OrdersAgency Position StatusAgency WORK EXPERIENCE PRIOR TO USPHS CAD Date(s)PositionInstitution/Facility/AgencyLocationEDUCATIONDegree/DiplomaSpecialtyCollege/UniversityYear ReceivedQualifying Degree (Y/N) USPHS ASSIGNMENT(S), DUTIES & IMPACTCurrent Agency Title:Billet Grade: Date:Agency:Duties & Responsibilities:Impact/Accomplishments: USPHS ASSIGNMENT COLLATERAL DUTIES RoleDescriptionDate(s)CONTRIBUTIONS TO NURSE CATEGORY, USPHS & PROFESSIONAL ORGANIZATIONS Nurse CategoryGroup/CommitteeRoleYear(s)USPHSGroup/CommitteeRoleYear(s)Professional OrganizationsGroup/CommitteeRoleYear(s)CONTINUING EDUCATION (most recent year)DescriptionOrganizationDate(s)Hours (CEU, CE, CNE, or CME)TotalTRAININGSDescriptionOrganizationRequired/ OptionalYear(s)Hour(s)/ Day(s)Public Health/Response Non-Public Health/Response CERTIFICATIONSDescriptionOrganizationRequired/OptionalDate(s)LICENSURETypeStateExpiration Date# of CE Hours Required per Licensing PeriodAWARDS & RECOGNITIONType of Award/RecognitionYear(s) AwardedUSPHSUniformedServicesOtherLetters/Certificates of AppreciationRESPONSEMissionRoleYear(s)USPHSAgencyMENTOR/MENTEE PROGRAM ACTIVITIESOfficial N-PAC CategoryMentor(s)/Mentee(s) NameYear(s)Mentor: Mentee: OtherMentor:Mentor: Mentor: Mentee: PUBLICATION(S)PRESENTATION(S)Presentation TitleMeeting TitleActivity TypeLocationDate(s)CIVIC, COMMUNITY, AND VOLUNTEER/OUTSIDE ACTIVITIES (OPTIONAL)Activity TypeDate(s) ................
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