ATTACHMENT 1:
APPLICATION FOR SERVICE AS AN
OPERATION BUSHMASTER OBSERVER CONTROLLER
Please provide your name and contact information:
Name:
Location:
Address:
City: State: Zip:
E-mail:
Phone:
Please indicate your Areas of Interest (check all that apply):
Evaluation Team Leader
Leadership Observer/Controller (OC)
Surgeon Observer/Controller
Combat Stress Control (CSC) Observer/Controller
Ambulance Team Leader (ATL) Observer/Controller
Please indicate your availability (circle yes/no):
Iteration 1 (11-14 July): YES NO
Iteration 2 (17-21 July): YES NO
Please provide a brief description of your experience background below. (Alternatively attach a
current copy of your CV.)
Click here to enter text.
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