STAFF APPLICATION: FLORIDA HOPE 2019
Use this form to apply to serve as a Staff member for Florida Hope, March 7-10, 2019 at Indian River State College in Fort Pierce, Florida.  The pre-requisite to serve as a staff member is having been a participant in a CHSE exercise.  The Staff Application deadline is midnight, Friday January 11, 2019. At that point staff selection processes will begin. Additional applications will be accepted based on need. Staff selection notifications will go out as soon as staff selection has been completed.

EXERCISE INFORMATION:

EXERCISE DATES: MARCH 7-10, 2019

DISASTER RESPONSE FIELD TRAINING EXERCISE
Treasure Coast Public Safety Complex at Indian River State College
WHO: Sponsored by the Consortium for Humanitarian Service and Education and the Northwest Missouri State University Emergency and Disaster Management Program for students, community members, and local and state responders.

WHAT:
Four day disaster response field training exercise focused on:
Epidemiological Investigation and Incident Response
Incident Command System
Psychological First Aid
Mass Casualty Incident
Evidence Collection and Investigation
Victim Information and Victim Assistance Centers

WHEN: Staff Arrive Wednesday March 6, 2019 with staff training starting first thing in the morning of Thursday March 7. Participants are to arrive no earlier than 12:00 PM and no later than 5:00 PM, Thursday March 7.

WHERE: Training Area:  Treasure Coast Public Safety Complex at Indian River State College in Fort Pierce, Florida.

WHY: This domestic disaster response exercise challenges participants to overcome their fears and hone their skills as emergency responders.  Participants work together in teams where they rotate leadership positions and are challenged with mass casualty situations, high angle rescues, and water rescue operations.  
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Last Name *
First Name *
Email Address *
Telephone Number *
Institution/Organization *
T Shirt Size *
Do you have any dietary requirements? Check all that apply. *
This will not affect your selection but we need to know for meal logistics.
Required
REQUESTED ROLE- FIRST CHOICE: Please select the function you would most like to fill at Florida Hope *
REQUESTED ROLE- SECOND CHOICE: Please select the function you would most like to fill at Florida Hope *
REQUESTED ROLE- THIRD CHOICE: Please select the function you would most like to fill at Florida Hope *
Previous consortium experience (Missouri Hope, Atlantic Hope, New York Hope) *
Please list the activity, year, and your position/role.
Education *
Please list the institution, degree, and year of education completed or in progress.
Additional certifications/skills/training/experience *
Examples: EMR/EMT/Para, nursing student, military experience, CERT, etc.
Reference: Senior/Executive Staff or Faculty Recommender *
Please electronically check each statement acknowledging that you have read and agree to the following: *
Required
Essay Question *
Please provide a short essay (400-600 words) explaining why you wish to participate as a staff member at Florida Hope, what you will contribute in each position for which you are applying, and what you will do with this experience in your future professional life should you be selected.
What's Next?
Thank you for applying to serve as a Staff member for Florida Hope. The Staff Application deadline is midnight, Friday January 11, 2019. At that point staff selection processes will begin. Additional applications will be accepted based on need. We will email you shortly after this deadline to notify you of your selection status.  If selected we will send you a staff letter of instruction and a link to the payment site.  Your staff slot is not guaranteed until you have paid the staff participation fee.  Thanks again and we will be in touch soon.
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