National Certification Submission

Colorado Trauma Network Awards Committee

Thank you for informing the Awards Committee of recent national certifications. Any member of the Colorado Trauma Community who obtained their first-time certification from 4/1/21 until now will be recognized by our committee.

Question Title

* 1. List the name of the person who obtained national certification.

Question Title

* 2. List the certification obtained.

Question Title

* 3. List the email of the person who obtained national certification.

Question Title

* 4. List the current role of the person who obtained national certification.

Question Title

* 5. List the facility name of the person who obtained certification.

Question Title

* 6. Please list your name if you are submitting a co-worker's/employees certification, if you are self-reporting please type "self".

Question Title

* 7. If you are submitting on another's behalf, please share your email. Please type "self" if self-reporting.