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  EMS Instructor/Coordinator Resource Manual
  
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Simulation Program Application

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Simulation Program Application

Simulation Program Application

Organization Name*
Check all that apply*
- EMS
- Fire
- Law Enforcement
- Hospital
- Educational Institution
Contact Name*
First Last
Title
Email
Phone
Training location*
Address*
Street Address City State ZIP Code
Date of training*
MM slash DD slash YYYY
Start time of training*

: Hours

Minutes

AM/PM
End time of training*

: Hours

Minutes

AM/PM
Training topic*
Please indicate the level of instruction you would like (select one)
- Program instruction and prop operation
- Prop and operator only
Devices requested*
Anticipated number of students*
Please describe what you would like for training and your learning objectives.*
Please list any other organizations that will be involved in the training.
Are you charging the students for this training?*
- YES
- NO
This training event is a:
- Single training activity
- Sim event part of a multi-event program

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We are committed to training, educating, and certifying emergency and community responders to protect the citizens and visitors of New Hampshire.

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Headquarters

98 Smokey Bear Blvd
Concord, New Hampshire 03301

fstems@dos.nh.gov

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Division of Fire Standards and Training & Emergency Medical Services. All Rights Reserved.

Search for:

About
- Who We Are
  Meet the Director
  
  Staff & Instructors
  
  History
  
  “First Alarm” Series
  
  Facilities
  Richard M. Flynn Training Facility, Concord
  
  Raymond S. Burton Training Facility, Bethlehem
  
  Northern EMS Field Office, Gorham
  
  Training Props
  
  Apparatus
  
  Training Grounds Coffeehouse
  
  Initiatives
  COVID-19
  
  Automated External Defibrillator (AED) Registry
  
  Organization
  Fire Standards & Training Commission
  
  Emergency Medical & Trauma Services Coordinating Board
  
  Medical Control Board
  
  Trauma Medical Review Committee
  
  Board & Committee Documentation
  
  Bureau of Certification and Support
  
  Bureau of Emergency Medical Services
  
  Bureau of Firefighter Training
News
- Kitchen Table Conversations
  
  News
Courses
- Courses
  Course Catalog
  
  Current Courses
  
  Examinations
  
  Online Classroom
  
  Registration
  
  Course Registration
  Register Today
Licensing
Resources
- Student Resources
  Support
  
  BLS Eligibility to Test Application
  
  Certification Reciprocity
  
  Online Classroom
  
  Skills University
  
  Public Resources
  Automated External Defibrillator (AED) Registry
  
  EMS Simulation Program
  
  How to Become a First Responder
  
  Statewide Employment Opportunities
  
  Trauma System
  
  First Responder Resources
  A Guide for New Fire Chiefs
  
  EMS Accolades Report
  
  Licensing for Emergency Medical Services
  
  Patient Care Protocols (Version 8.1)
  
  Preplanned EMS Standby Coverage Best Practices
  
  Statewide Employment Opportunities
  
  Department Resources
  Academy Resource Request
  
  Department Information Update
  
  Department Training Request
  
  Instructor & Coordinator Resources
  Academy Resource Request
  
  Continuing Education Submission Form
  
  Curricula
  
  EMS Instructor/Coordinator Resource Manual
  
  EMS Request for Examination
  
  Initial Course Request Form (CREF)
  
  Instructor Application & Renewal
  
  Instructor Mentoring Program
  
  Instructor Policies
  
  Online Course Intake Request
  
  Paramedic Interfacility Transfer Instructor Materials
  
  Reciprocity Application Form
  
  Certification Reciprocity
Careers