ࡱ> @B? [bjbj΀ 3&A 3338k,3 .$E!#Hh|p?U'3d0 /%/%/%Vqe) /% : Standard Curriculum Vitae Format for Application to the CDC Environmental Public Health Leadership Institute PERSONAL INFORMATION List the following: Full name Mailing address Work phone number Home phone number Fax number E-mail address Country of citizenship EDUCATION List all institutions attended, including high school, in reverse chronological order: Years attended Name of institution Location (city and state) Degree or diploma received Major and minor LICENSES AND CERTIFICATIONS List professional licenses and certifications (include date and state or agency as applicable). REGISTRATIONS List professional registrations (include date and state or agency that granted registration). PROFESSIONAL ORGANIZATIONS List memberships, positions, and activities in professional organizations. AWARDS List one or two awards you have received and describe why you are most proud of them. WORK/VOLUNTEER EXPERIENCE List each job from the date you received your undergraduate degree to the present (start with current position): Dates employed: from _____ to _____ Job title Employers name and address Duties and accomplishments Number of employees or volunteers you manage or direct Total yearly environmental public health program budget of your organization Size of annual budget you are responsible for managing Contact information for your supervisor Incomplete applications will not be considered. See Sample Curriculum Vitae below. Sample Curriculum Vitae John Smith, RS 1234 Main Street Anytown, OH 00000 Work Phone Number: (000) 111-1111 Home Phone Number: (000) 222-2222 Fax Number: (000) 333-3333 E-mail Address: jsmith@email.org Country of Citizenship: United States EDUCATION West University Master in Public Health June 1992 School of Public Health Environmental Health South University Bachelor of Science June 1990 Environmental Health Biology Minor Sherwood High School General studies June 1986 Ashton, Maryland LICENSES AND CERTIFICATIONS Certified Pool Inspector REGISTRATIONS Registered Sanitarian, Anystate Board of Health, 1990 PROFESSIONAL ORGANIZATIONS National Environmental Health Association, Member 1992Present AWARDS Environmental Health Specialist of the Year: North State, 2004. This award was important to me because I was nominated by my peers, even though environmental public health is a team effort. WORK/VOLUNTEER EXPERIENCE October 2002 Present Director, Division of Environmental Health Services East Anytown, Ohio Duties include the following: Maintained close liaison and providing consultations to Rural Health Program Directors andstaff. Planned, implemented, directed, and evaluated a comprehensive Environmental Health Services Program to include industrial hygiene, institutional health, water quality, waste management, air pollution, vector control, food protection, injury prevention, and safety management. Manage 6 employees. Environmental public health program yearly budget: $1M (responsible for managing $500K/year). Supervisor: Jane Doe, 111-222-3333, jdoe@email.org Continue in above format for each job. You are not limited to a single page.     8<n    A N O P Q _ ! 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