Get the free ITLS Form 02012013.doc

This document is a registration form for the ITLS 3-Day Course, providing details on the course schedule, location, fees, and required registration information.

How to fill out itls form 02012013doc

How to fill out ITLS form 02012013doc:

1. Start by entering the date at the top of the form. Make sure to use the correct format as indicated (mm/dd/yyyy).
2. Fill in your personal information, such as your name, address, phone number, and email address. This information is essential for identifying the person completing the form.
3. Indicate your current certification level by selecting the appropriate box. This could be Basic, Advanced, or Instructor.
4. Provide details about your current employment or organization. This may include the name of your company or institution, your position, and contact information.
5. In the next section, mark whether you are applying for ITLS or ITLS-Advanced Provider (ITLS-AP). Choose the option that is applicable to your situation.
6. If you are applying for ITLS-AP, indicate the date and title of the ITLS Provider course you have successfully completed. This demonstrates your qualification for the advanced provider level.
7. In the "Continuing Education" section, list any relevant courses or conferences you have attended. Include the title of the program, the date, the number of hours, and the name of the sponsoring organization.
8. Provide information about your professional experience in the "Professional Experience" section. Include details such as the name of your employer, your position, the dates of employment, and a brief description of your responsibilities.
9. If you have any special skills or certifications that are relevant to ITLS, list them in the "Special Skills" section. This could include things like additional medical certifications or foreign language proficiency.
10. Sign and date the form to confirm that all the information you provided is accurate and complete.

Who needs ITLS form 02012013doc:

1. Emergency medical professionals: This form is commonly required for emergency medical technicians (EMTs), paramedics, nurses, and other healthcare professionals working in the field of emergency medicine.
2. First responders: Firefighters, police officers, and other first responders may also need to fill out this form when applying for certain positions or certifications that require ITLS training.
3. Healthcare institutions: Hospitals, clinics, and other healthcare facilities may request this form from their staff to ensure that all personnel have the necessary ITLS certification and training.

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