Trainer Application

Personal Details: NAME: ADDRESS: CONTACT NUMBERS: Home/Work: Mobile: EMAIL: Work: Personal: CURRENT JOB TITLE: CURRENT HOSPITAL: BRIEF HISTORY OF CAREER: Trained at... RGN or RSCN... Specialised in... Extra relevant qualifications... RESUS COUNCIL QUALIFICATIONS: Status with: ILS, ALS, EPLS APLS, GIC, ATLS etc