Regional EMS Award for Outstanding Prehospital Educator

Regional EMS Award for Outstanding EMS Prehospital Educator NOMINATION FORM

  • Read each statement below carefully and answer completely. Limit documentation to the information requested. Up to three documents may be attached to the nomination form. Of these items, one letter of support written by someone other than nominator must be included. Other documents may include a resume or CV, a newspaper article written about the nominee, etc.
  • Drop files here or
  • A.) How has this nominee enhanced EMS education for their students and why should the nominee be selected for an award? B.) Explain how this provider exemplifies outstanding teaching and leadership qualities while participating as an educator in an EMS program.
  • A.) How do they enhance the classroom or training experience to ensure that their students are ready and can provide the best care to their patients? B.) Does this educator sit on any committees or participate with programs that help to further enhance EMS education and patient care?
  • Date Format: MM slash DD slash YYYY