MILITARY TRAINING NETWORK ACLS INSTRUCTOR LIST Date: List all Instructors including satellite personnel Instructor to TSF is 15:1 Number of Instructors Number of TSF: Send MTN a copy of each TSF nomination form/ensure MTN has TSF form(s) on file. Fill in the expiration (exp) date for all ACLS instructors and submit copies with the annual report NLT 30 Sep. Professional Licensure Name (Last, First, MI) TSF Card Instructor Card (MD, DO, Rank, Branch of Service, Corps Exp Date Exp Date CRNA, RN, EMT, etc.)
MILITARY TRAINING NETWORK ACLS INSTRUCTOR LIST Date: List all Instructors including satellite personnel Instructor to TSF is 15:1 Number of Instructors Number of TSF: Send MTN a copy of each TSF nomination form/ensure MTN has TSF form(s) on file. Fill in the expiration (exp) date for all ACLS instructors and submit copies with the annual report NLT 30 Sep. Name (Last, First, MI) Rank, Branch of Service, Corps Professional Licensure (MD, DO, CRNA, RN, EMT, etc.) Instructor Card Exp Date TSF Card Exp Date
mtnaclsnewaffiliationpackage.docx