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2018 MIST Initial Class
2018 will have two (2) MIST Initial Courses:

03/08-09/2018 in San Marcos

5/30-31/2018 in Corpus Christi

There is a finite amount of funding for the course; acceptance will be based on: registration timestamp, TXEMTF MOA Status, historical participation, and agency support. The MIST course will initially have 4 slots per region; additional registrants will be placed on the wait-list. As unfilled slots are released by the regions, they will be filled by those on the wait-list.

The Medical Incident Support Team (MIST) is designed to provide support to the medical response at the local level, during a disaster, serving as a liaison between to the Department of State Health Services (DSHS), the Texas Division of Emergency Management (TDEM) District Coordinator (DC), the Disaster District Chairman (DDC), and the local jurisdiction. They also assist the local incident command structure with management of State and Federal assets, and may provide subject matter expertise on issues relating to health and medical assets while providing support. Team members are trained in procedures for evacuation of medical facilities and populations with medical needs, as well as the use of WebEOC®, to provide State and local officials with real time information on ESF-8 issues. Training will emphasize the MIST member’s responsibility during the management of incident, as well as their vital role as a liaison for State resources, a forward observer for DSHS and the State Operations Center (SOC), or as a subject matter expert to aid local jurisdictions dealing with health and medical issues caused by the disaster.

Do you meet qualifications for a MIST member?
o Senior Management
o Command Level Officers
o EMS Directors and Senior Supervisors
o Hospital Emergency Managers
o Highly skilled/motivated
o Completed ICS 300/400
o Rapidly Deployable
o Submit a sponsorship letter by your chief officer attesting to your ability and availability to be deployed

As in years past, we will be placing two students per room. Please let me know in the notes section of this form if you wish to share a room with a particular team member.
The TXEMTF Program will be making all room reservations.

Costs & Reimbursement:
Course registration is funded through the Department of State Health Services (DSHS). The cost of the hotel room is covered as part of the course; any incidentals (e.g., room service, movies, laundry service) are your responsibility. Breakfast, lunch and a snack will be provided at the course both days. Travel and $18.00 per day will be reimbursed. Mileage is reimbursed for personal vehicles at the State Mileage rate. We cannot reimburse mileage if you travel in an agency vehicle. Travel reimbursement is available with a maximum of $400 per student. All travel arrangements should be coordinated and approved by your regional EMTF Coordinator.

Please complete the form below.

Keith Vintila
Emergency Medical Task Force Coordinator
Region 4 RAC-G / RAC-F
(903) 593-4722 Ofc
www.keith@rac-g.org
www.EMTF-4.org

First Name *
Your answer
Last Name *
Your answer
What is you email address? *
Your answer
Your Mobile Phone Number *
Your answer
Department / Agency *
Your answer
What is your Title / Rank *
Your answer
Who is your Supervisor *
Your answer
Date Preference *
Submit a sponsorship letter to keith@rac-g.org by your Chief officer attesting to your ability and availability to be deployed. *
Completed ICS 300 *
Completed ICS 400 *
Are you senior management, command level officer, or a hospital Emergency Manager? *
Are you an EMS Director and/or Senior Supervisor/
What Trauma Service area do you Represent?
Does your Agency/Organization have a current "MOA" with EMTF-4?
Notes
Your answer
A copy of your responses will be emailed to the address you provided.
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