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2024 NAEMSP/STRYKER Application
EMS MEDICINE EARLY CAREER MEDICAL DIRECTOR AWARD
INTERROGATIVE
Instructions: Please answer the following questions using 300 words or less for each.
Introspection:
How will this award help you accomplish your EMS career ambitions?
300 word limit
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Word Limit: 300
Introspection:
Recognizing that all candidates are highly qualified, what experience or qualifications set you apart from the other candidates?
300 word limit
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Word Limit: 300
Introspection:
What will be your greatest impact on EMS?
300 word limit
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Word Limit: 300
Character:
What personal attributes will make you an effective EMS Physician and national EMS leader?
300 word limit
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Word Limit: 300
Vision:
What is (are) the greatest challenge(s) facing EMS in the next 5-10 years?
300 word limit
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Word Limit: 300
Vision:
Where do you see yourself in EMS 5-10 years from now and how do you plan to achieve this station?
300 word limit
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Word Limit: 300
Open Forum:
Anything else you would like to share with the Selection Committee?
300 word limit
Word Limit: 300
Your Full Name:
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Email
I attest that:
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I am a Diplomate in good standing of an American Board of Medical Specialties (ABMS) Member Board or Bureau of Osteopathic Specialists (BOS).
I comply with the ABEM or AOA Policy on Medical Licensure. Licenses must be valid, full, unrestricted and unqualified including educational or temporary licenses.
I am a member in good standing of NAEMSP®.
Date
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Upload a PDF of your CV
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Your Curriculum Vitae is required for submission.
Upload supporting documentation here - 3 letters are required with your submission
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Add File
Three letters are required as part of the completed application:
a. One letter of support from the applicant's mentor, speaking to impact and feasibility.
b. Two additional letters of support from both the Academic Institution/Healthcare System and the EMS agency the applicant will be affiliated with during the award period.
Upload Workplan outlining clearly the goals ad objectives, as well as a proposed timeline for completion.
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Add File
