RWJMS Students Skills Database

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Please fill out this form if you’d like to be recorded in the database of skills available in our student body. This information will be utilized in the event of needing additional healthcare support in the ongoing pandemic response.

Name (First name Last name) *

RWJMS E-mail Address *

Trainings and certifications that you hold: *

Automated External Defibrillator (AED) Training ONLY

Basic Life Support (BLS)— CPR + AED Certification

Cardiopulmonary Resuscitation (CPR) Training ONLY

CET Certified EKG

CPT Certified Phlebotomy

Emergency Medical Technician (EMT) Training Certified

HIPAA Training Certified

Medical Scribe

PharmD

Registered Nurse (RN)

Wet Lab Experience

Other:

Required

Are you fluent in any other languages besides English? If yes, please list them below. *

Are the certifications/training you chose current? *

YES

Required

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