Attachment H2 Resume Submission Form for Scope D2 Respondent: Instructions As stated in the RFP document Section 1.3, in order to bid on a unit, the Respondent must provide the minimum number of resumes specified in Attachment E Cost Proposal for all the – positions listed in the unit. The resumes must be for named individuals who are both available and qualified to satisfy the needs of the State for the specific unit. Please fill out this Resume Submission Form and attach all relevant resumes. Every resume submitted with this RFP (including if bidding on both Scope D1 and D2) must be unique across all scopes and units. In filling out the Resume Submission Form, the Respondent affirms that every resume is from a unique individual who is available and qualified satisfy the needs of the State in the respective unit. Please write to confirm that the following resumes are attached. “Yes” Unit 2E Psych-Med Unit – Required Number Confirm Position Title of Resumes Attached Behavioral Health Recovery Attendants (BHRA 4) 16 Charge Nurses (Charge Nurse 3) 5 Registered Nurses (Nurse 4) 3 Unit 2NW Neuro-Cognitive Unit – Required Number Confirm Position of Resumes Attached Behavioral Health Recovery Attendants (BHRA 4) 13 Charge Nurses (Charge 3) 4 Registered Nurses 4) 2 Unit 4W Adolescent SUD Unit – Required Number Confirm Position Title of Resumes Attached Behavioral Health Recovery Attendants (BHRA 4) 21 Charge Nurses (Charge Nurse 3) 6 Registered Nurses (Nurse 4) 3
Attachment H2 Resume Submission Form for Scope D2 Respondent: Instructions As stated in the RFP document Section 1.3, in order to bid on a unit, the Respondent must provide the minimum number of resumes specified in Attachment E – Cost Proposal for all the positions listed in the unit. The resumes must be for named individuals who are both available and qualified to satisfy the needs of the State for the specific unit. Please fill out this Resume Submission Form and attach all relevant resumes. Every resume submitted with this RFP (including if bidding on both Scope D1 and D2) must be unique across all scopes and units. In filling out the Resume Submission Form, the Respondent affirms that every resume is from a unique individual who is available and qualified satisfy the needs of the State in the respective unit. Please write “Yes” to confirm that the following resumes are attached. Unit 2E – Psych-Med Unit Position Title Required Number of Resumes Confirm Attached Behavioral Health Recovery Attendants (BHRA 4) 16 Charge Nurses (Charge Nurse 3) 5 Registered Nurses (Nurse 4) 3 Unit 2NW – Neuro-Cognitive Unit Position Required Number of Resumes Confirm Attached Behavioral Health Recovery Attendants (BHRA 4) 13 Charge Nurses (Charge 3) 4 Registered Nurses 4) 2 Unit 4W – Adolescent SUD Unit Position Title Required Number of Resumes Confirm Attached Behavioral Health Recovery Attendants (BHRA 4) 21 Charge Nurses (Charge Nurse 3) 6 Registered Nurses (Nurse 4) 3
DMHA%20Medical%20Staffing%20Services%20-%20Attachment%20H2%20-%20Resume%20Submission%20Form%20for%20Scope%20D2.docx