Left Side of Instructor Folder NOTE: Use The Teach Activity Tracking To Log Your Courses. Instructor Contact Information Must Fill-In. Left side of Instructor folder On top(1/4).

Curriculum Vitae (CV) only need for TSF and PD only Left side of Instructor folder. File after Instructor Teaching Log(2/4).

Only need when program receiving CME credit through the MTN Left side of Instructor folder File after CV Form (3/4)

Copies of Additional Certification Subject Matter of Expert Examples: NREMT-B RN MD Left side of Instructor folder. File after Financial Disclosure Form(4/4)

Right Side of Instructor Folder All info must fill-in. This only applies for PD of the Training Site All info must fill-in. This only applies for PD & TSF of the Training Site Right side of Instructor folder On top(1/6).

NOTE: First time instructor will not having this form. All info must fill-in & Signed By the Training Site’s PD Right side of Instructor folder. File after TSF or PD’s Form (2/6)

NOTE: All Instructors must be monitored before issuance or re-issuance of Instructor card. All instructors must monitor at least once every 2 years or upon assignment to a new TS. Right side of Instructor folder. File after Instructor Renewal Checklist(3/6).

This form must completed & Signed by candidate & TS’ PD Right side of Instructor folder. File after Instructor Monitoring Form(s)(4/6).

Copy of signed wallet card (front & back) Right side of Instructor folder File after Instructor Candidate Form(5/6).

Certificates or memorandums of training for in-services and any additional training directly related to MTN Resuscitative Medicine Training. Examples: Core Instructor Course Guidelines update Memorandum of Equipments/Disinfection training. Right side of Instructor folder On bottom(6/6).