hazmat instructor application - ncbrt 700.a: national incident management system (nims), an...

5
Page 1 of 5 Dec 2017 HazMat Instructor Application Weapons of Mass Destruction Tactical Operations (Tac Ops) Important things to remember: This is a competitive process. Complete each answer thoroughly. “See Resume” or “See Previous Answer” are not acceptable. You must submit the application to [email protected]. APPLICANT INFORMATION Name: ____________________________________ Area of Expertise Discipline/Background Years of Experience Primary Secondary Tertiary If “Other” selected as primary, secondary, or tertiary background, please specify: _________________________________ My current résumé, written in chronological order, is attached, beginning with most recent experience. (Note: Your résumé will be used to verify your professional certifications and experience.) INSTRUCTOR QUALIFICATIONS Please check whether you meet the following qualifications and have completed all of the independent study courses listed below. Failure to meet any of the following requirements will result in disqualification. All indicated qualifications should be apparent in your resume. Ten or more years of professional experience in a Hazmat environment, including responding to CBRNE events. Three or more years of experience teaching adult learners. Required Courses The certificate of completion is IS 100.b: Introduction to Incident Command System, I-100 Attached On file at NCBRT IS 200.b: ICS for Single Resources and Initial Accident Incidents Attached On file at NCBRT IS 700.a: National Incident Management System (NIMS), An Introduction Attached On file at NCBRT IS 800.b: National Response Framework, An Introduction Attached On file at NCBRT

Upload: dinhanh

Post on 01-May-2018

221 views

Category:

Documents


6 download

TRANSCRIPT

Page 1: HazMat Instructor Application - NCBRT 700.a: National Incident Management System (NIMS), An Introduction ⃝ Attached ⃝ On file at NCBRT IS 800.b: National Response Framework, An

Page 1 of 5 Dec 2017

HazMat Instructor Application Weapons of Mass Destruction Tactical Operations (Tac Ops)

Important things to remember: • This is a competitive process. Complete each answer thoroughly. “See Resume” or “See Previous Answer” are not acceptable.• You must submit the application to [email protected].

APPLICANT INFORMATION

Name: ____________________________________

Area of Expertise Discipline/Background Years of Experience Primary Secondary Tertiary

If “Other” selected as primary, secondary, or tertiary background, please specify: _________________________________

☐ My current résumé, written in chronological order, is attached, beginning with most recent experience. (Note:Your résumé will be used to verify your professional certifications and experience.)

INSTRUCTOR QUALIFICATIONS Please check whether you meet the following qualifications and have completed all of the independent study courses listed below. Failure to meet any of the following requirements will result in disqualification. All indicated qualifications should be apparent in your resume.

☐ Ten or more years of professional experience in a Hazmat environment, including responding to CBRNEevents.

☐ Three or more years of experience teaching adult learners.Required Courses The certificate of completion is IS 100.b: Introduction to Incident Command System, I-100 ⃝ Attached ⃝ On file at NCBRT IS 200.b: ICS for Single Resources and Initial Accident Incidents ⃝ Attached ⃝ On file at NCBRT IS 700.a: National Incident Management System (NIMS), An Introduction ⃝ Attached ⃝ On file at NCBRT IS 800.b: National Response Framework, An Introduction ⃝ Attached ⃝ On file at NCBRT

Page 2: HazMat Instructor Application - NCBRT 700.a: National Incident Management System (NIMS), An Introduction ⃝ Attached ⃝ On file at NCBRT IS 800.b: National Response Framework, An

Page 2 of 5 Dec 2017

PROFESSIONAL EXPERIENCE

Describe your experience performing decontamination of law enforcement tactical teams (experience with actual incident is preferred, but you may also include experience during drills and scenarios; please site specific examples and your role).

Describe roles that you filled in integrated responses involving law enforcement and hazardous material operations. What challenges did you observe and how did you work towards building an integrated team?

1.

2.

Please describe your related experience, particularly field response experience, past/ or present roles and responsibilities, and experience related to training and conducting training for responders. The response “see

resume” is not an acceptable answer. Your answers should be well thought-out and robust.

Page 3: HazMat Instructor Application - NCBRT 700.a: National Incident Management System (NIMS), An Introduction ⃝ Attached ⃝ On file at NCBRT IS 800.b: National Response Framework, An

Page 3 of 5 Dec2017

What types of PPE have you assisted/trained law enforcement with using in a CBRNE response and describe the challenges you faced in doing so and how you overcame them. Were there any challenges to training PPE to tactical operators?

Describe your experience working with tactical teams using detection and monitoring equipment in response to a CBRNE incident. Include examples of incidents, what equipment was used, and your functions within the operations.

List examples of training sessions you have conducted with law enforcement officers on the use of detection and monitoring equipment. Site specific examples of courses, including equipment, and what you covered during the training, what types of practical exercises you incorporated, and the challenges you found that are unique to this training environment.

3.

4.

5.

Page 4: HazMat Instructor Application - NCBRT 700.a: National Incident Management System (NIMS), An Introduction ⃝ Attached ⃝ On file at NCBRT IS 800.b: National Response Framework, An

Page 4 of 5 Dec 2017

NEW HIRES ONLY Only applicants who are not currently employed by NCBRT must complete the following items.

How did you hear about this opportunity? ☐ Website (please list): _____________________________________________________☐ Recommended by a colleague/friend

Name: _________________________________________________________________Phone: ________________________________________________________________Email: _________________________________________________________________

☐ Other (please list): _______________________________________________________

References Reference Name Title and Organization Phone Number

Primary

Secondary

Tertiary

6. Describe your experience in training adult learners. (Provide relevant examples.)

7. Describe your experiences facilitating scenario-based activities, tabletop exercises, training games, and small groupdiscussions. (Provide relevant examples)

Email Address

Page 5: HazMat Instructor Application - NCBRT 700.a: National Incident Management System (NIMS), An Introduction ⃝ Attached ⃝ On file at NCBRT IS 800.b: National Response Framework, An

Page 5 of 5 Dec 2017

CERTIFICATION OF COMMITMENT What is your availability to teach for NCBRT per quarter? Please indicate the number of three-day assignments you can accept in a quarter: __________________

By submitting this application, and if employed by Louisiana State University (LSU), I agree to abide by the policies of LSU and NCBRT, including the NCBRT Instructor Code of Conduct.

E-Signature: Date: MM/DD/YYYY

APPLICATION DEADLINE

This application, a current resume, and any training certificates must be submitted no later than close of business (4:30 PM central time) January 8, 2018 to [email protected].

Contact Charles Phillips at [email protected] or 225-578-2708 with questions.