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It captures institutional and program identifiers, personal contact details, and job title, then collects education history and professional credential selections across multiple RDMS/RDCS/RMSKS and related categories. It also gathers registry numbers, primary specialization areas, allocation of job responsibilities by percentage, and explanations of curriculum development or teaching methodology proficiency. A professional development section requests recent faculty sessions, employment eligibility for two years, and prior work history, enabling consistent credentialing and review.","JRC-DMS Summary Curriculum Vitae Form\nName of Institution/Affiliate: \u0013 FORMTEXT \u0014     \u0015 \t\t\t\t\tProgram Number: \u0013 FORMTEXT \u0014     \u0015\nName (last, first, middle initial): \u0013 FORMTEXT \u0014     \u0015\nWork Telephone Number: \u0013 FORMTEXT \u0014     \u0015\t\t\tWork Email Address: \u0013 FORMTEXT \u0014     \u0015\nNOTE: If the official name provided above does not match the name as listed with the credentialing organization, provide a copy of an appropriate legal document verifying the name change or name difference, i.e., a marriage certificate.\nJob Title: \u0013 FORMTEXT \u0014     \u0015\nEDUCATION:\u000bBegin with baccalaureate or other initial professional education and include postdoctoral training. Identify all post-high school education in chronological order:\nIndicate Professional Credential(s):\n\u0013 FORMCHECKBOX \u0014\u0015 RDMS (AB)\t\u0013 FORMCHECKBOX \u0014\u0015 RDMS (BR)\t\u0013 FORMCHECKBOX \u0014\u0015 RDMS (OB)\t\u0013 FORMCHECKBOX \u0014\u0015 RDCS (AE)\t\u0013 FORMCHECKBOX \u0014\u0015 RDCS (PE)\t\u0013 FORMCHECKBOX \u0014\u0015 RMSKS\n\u0013 FORMCHECKBOX \u0014\u0015 RCS\t\t\u0013 FORMCHECKBOX \u0014\u0015 RCCS\t\u0013 FORMCHECKBOX \u0014\u0015 RVT\t\t\u0013 FORMCHECKBOX \u0014\u0015 RVS\t\t\u0013 FORMCHECKBOX \u0014\u0015 RT(S)\nFor applicable registry(ies) the credential number(s) must be provided:\nARDMS Registry #:\u0013 FORMTEXT \u0014     \u0015   \t\tCCI Registry #:\u0013 FORMTEXT \u0014     \u0015   \t\tARRT Registry #:\u0013 FORMTEXT \u0014     \u0015\nPrimary areas of specialization: \u0013 FORMTEXT \u0014     \u0015\nPercent of Job Responsibilities (program directors only):\n\u0013 FORMTEXT \u0014     \u0015%\t\tTime Performing Administrative Duties\n\u0013 FORMTEXT \u0014     \u0015%\t\tTime Teaching /Student Interaction\n\u0013 FORMTEXT \u0014     \u0015%\t\tTime for Other Responsibilities\n_________________________________________________\n= 100%\t (Total must add up to 100%)\nDescribe how proficiency in curriculum development was obtained (program directors and concentration coordinators only): \u0013 FORMTEXT \u0014     \u0015\nDescribe how proficiency in teaching methodologies* was obtained (clinical coordinators only): \u0013 FORMTEXT \u0014     \u0015\nProfessional Development Table (program directors, concentration coordinators & clinical coordinators) List three faculty development sessions attended in the past two years:\nDo you meet the two-years of employed clinical experience?\n\u0013 FORMCHECKBOX \u0014\u0015 Yes     \u0013 FORMCHECKBOX \u0014\u0015 No\t\t\t\tIf no, please explain: \u0013 FORMTEXT \u0014     \u0015\nList in reverse chronological order previous employment experience:\n*Suggested resources to gain proficiency in teaching methodologies.  Include certificate of completion if a course listed below is completed.\nCoursera offers a course entitled “Foundations of Teaching for Learning: Curriculum” \u0013 HYPERLINK \"https://www.coursera.org/learn/teacher-curriculum\" \u0014https://www.coursera.org/learn/teacher-curriculum\u0015\nIf the Clinical Coordinator is an SDMS member, there are two courses in the SDMS e-Learning Center entitled “Foundations of Curriculum Design” and Instructional Methodologies”","cbCaiiZZya0cHVFA","https://ap.wps.com/l/cbCaiiZZya0cHVFA","docx",79564,2,"English","en",105,"# Applicant Information\n## Education and Credentials\n# Professional Summary\n## Specialization and Responsibilities\n## Professional Development and Employment History","[{\"question\":\"What information does the form collect about the applicant’s background?\",\"answer\":\"It collects the institution/affiliate name, program number, applicant name and contact details, and job title, followed by education and professional credential selections.\"},{\"question\":\"How are job responsibilities documented in this CV form?\",\"answer\":\"It asks program directors to provide percentages for administrative duties, teaching/student interaction, and other responsibilities, with a requirement that the totals add up to 100%.\"},{\"question\":\"What registry details are required for applicable registries?\",\"answer\":\"The form requests credential numbers and specifically includes fields for ARDMS, CCI, and ARRT registry numbers when applicable.\"}]","JRC-DMS Summary Curriculum Vitae Form | 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