Columbia University CPR

MEMBERSHIP APPLICATION
**APPLICATION MUST BE EMAILED TO CUCPR@COLUMBIA.EDU BY 5:00PM on JUNE 25th. INTERVIEWS WILL BE SCHEDULED ACCORDINGLY.

*Please fill in all applicable fields. Incomplete applications will not be considered*

Biological Information
Name: Affiliation (School): Graduation Date: Cell #:
DOB: Local Mailing Address: Major: Email:

Applicant Details
1. General Membership **Only accepting applications for instructor at this time. Minimum 2-year commitment if being certified through organization. 2. Executive Board and Committee Positions (Need review of positions) **must be applying as an instructor to be eligible for the officer positions. You may choose more than one, please indicate your preference in parentheses next to the option. Personnel Officer Operations Officer Finance Officer Executive Secretary

Descriptions
1. General Positions: Instructor: Instructors will be American Heart Association certified to teach CPR and First Aid. Instructors are required to teach at least 1 course per month, and attend training meetings mandated by the Director. All instructor candidates must be AHA CPR and First Aid certified. If you are not currently certified, CU CPR will certify you provided that you commit to teaching the required number of courses and can demonstrate the appropriate skill level to teach CPR. Instructors may apply for executive board positions.

2. Executive Board Position descriptions (Review) Personnel Officer

a. Serve as the Chair of the Personnel Committee and preside over all meetings b. Act as an aide to the Chief Medical Officer in the certification and in-hose training of all Training Members. c. Be responsible for all scheduling all Instructors d. Maintain records of Instructor certifications e. Aide the Site Director in scheduling all courses f. Ensure that all open courses are registered to the Columbia Ticket Information Centers online system g. Ensure that all affiliates requesting courses are assigned to courses in a timely manner, or are contacted to explain why he or she has not been assigned in the case of overwhelming requests. h. Maintain an up-to-date list of all members, and an archive of old members i. Maintain a list and contact information of all students of CU CPR. Finance Officer a. Serve as the Chair of the Finance Committee and preside over all meetings. b. Present a budget and a tentative schedule of suggested fundraising activities for the finance of CU CPR to be approved by the President and the Executive Board before June 1st. c. Deal with the day-to-day expenditures of CU CPR, including but not limited to supplies, certifications, and card fees. d. Make sure that CU CPR does not incur any liabilities. e. Ensure that money used on behalf of CU CPR is used wisely and in a manner that suits the purposes of CU CPR. Personnel Officer a. Oversees the scheduling mechanism of CU-CPR b. responsible for all scheduling (at least two instructors per class) c. must schedule class room 2 weeks in advance to class date d. organize mailing of reminder emails to instructors/students prior to class e. responsible for overseeing that each instructor has instructed the minimum trials required Executive Secretary: a. Oversees the notation functions of CU-CPR b. Responsible for taking minutes at the administrative and general membership meetings c. Make minutes available decided by Coordinator, no later than 24 hours after each meeting d. responsible for mailing all notifications (excluding CPR card)

Additional Information

Certifications

(Please submit copies of all applicable certifications with your application, but not a prerequisite to be certified)

First Aid: Issuing Organization (i.e. AHA, ARC, etc.): CPR for the Professional Rescuer (i.e. infant/child/adult): Issuing Organization (i.e. AHA, ARC, etc.): Other (i.e. EMT, Paramedic, first responder, etc): Issuing Organization (i.e. AHA, ARC, etc.):

Exp Date:

Exp Date:

Exp Date:

All Applicants: Try to limit all responses to the space provided unless instructed otherwise. Use additional space only if necessary. Application may be hand written.

Describe and all activities that you are presently involved in or anticipate being involved while volunteering for Columbia University CPR. Be sure to comment on your specific involvement and approximate the amount of time you dedicate to each of the activities listed.

Why do you want to be a part of CU CPR?

How many semesters do you anticipate being able to volunteer for Columbia University CPR?

Instructor Applicants (Keep response brief) Why do you want to be a CPR Instructor?

Describe any teaching experiences that you may have

What do you believe will make you a good instructor?

Do you have any prior medical experience?

If you were not CPR certified prior to applying, explain your motivations for becoming a CPR instructor

*If interested in pursuing an executive board position: 1. Have you ever managed the finances of a club or similar organization? If yes, please elaborate. If no, what qualities do you have that would make you an asset to Columbia University CPR?

***ALL APPLICANTS: PLEASE LOOK FOR AN EMAIL IN THE NEXT FEW DAYS TO SIGN UP FOR AN INTERVIEW TIME***

I hereby certify that the above information is true and accurate, and I authorize Columbia University CPR to verify my certification and consider my application for membership. Signature of Applicant:
Date: