SANE Info Needed!

Please fill out a curriculum vitae (CV) - so that we will be up to speed when needed for court testimony.  Take time to look over all of your previous education, formal and continuing ed.  The CV is how you demonstrate your education and experience, so that you may be qualified as an expert witness. 

Completion of this form is a MUST.  If you already have a CV - different than a resume - we will accept that.   You can cut and past the template into a word document then email it to me.  I will maintain them, and you will be asked to update yearly.  Any questions - ask Kathy!

Name

MUSC SANE Program

169 Ashley Ave

Charleston, SC 29425

(843) 729-3391

Education

Year                                       School                                                                                   Degree/Certification

Professional Certifications (example RN license, ACLS. PALS, BLS etc)

Year                                       Name of Certification or License and number if applicable

Employment

Year                                       Location                                                                               Job Title

Continuing Education Taught

Year                                       Title and Location                                                                            

Continuing Education Received

Year                                       Title and Location                                                                            

Publications

Year                                       Title and Location            

                                                               

Professional  Memberships/Associations