Fillable CHECKLIST PROFESSIONAL LOCAL CERTIFICATION Applicant Position: Appointed Coordinator (Beaver County Information Technology)

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CHECKLIST PROFESSIONAL LOCAL CERTIFICATION Applicant Position: Appointed Coordinator (Beaver County Information Technology)

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U.S.A. forms for Beaver County Information Technology

BROWSE BEAVER COUNTY INFORMATION TECHNOLOGY (PA) FORMS

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CHECKLIST
PROFESSIONAL LOCAL CERTIFICATION
Name:
Title:
Agency:
Email Address:
Last Four of SS:
XXX-XX-
FEMA SID#
Applicant Position: Appointed Coordinator
Deputy Coordinator Staff
Course
Certificate
Enclosed
1. IS - 15.b Special Events Contingency Planning
or
IS - 366 Planning for the Needs of Children in Disasters
1. IS – 130 Exercise Evaluation and Improvement Planning
or
IS – 139 Exercise Design and Evaluation (PDS)
(no longer available as of 02/26/2015 via FEMA IS)
2. IS - 703.a NIMS Resource Management
3. G – 235 Emergency Planning
4. G – 290 Basic Public Information Officer
5. ICS 400 Advanced ICS
*FEMA Professional Development Series Course
Municipal/County Agency
Recommendation
PEMA Area Office Recommendation
Signature:
Signature:
Name, Title
(Print):
Name, Title
(Print):
Agency:
Area Office:
Date:
Date:
PEMA State Training Officer
Approved
Signature:
Denied
Name (Print):
Date:
Revised 04/06/2015
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CHECKLIST PROFESSIONAL LOCAL CERTIFICATION Applicant Position: Appointed Coordinator (Beaver County Information Technology)

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Completed 29 March 2021

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