№ files_lp_4_process_3_088410
Administrative application form used by organizations to request recognition as an International Trauma Life Support chapter and provide organizational, educational, and governance information related to EMS trauma training activities.
Organization: International Trauma Life Support (ITLS)
Document Type: Application form
Purpose: Request to establish an ITLS Chapter
Revision: 2022
Subject Area: Emergency Medical Services (EMS) education and trauma training
Applicant Entity: Organization requesting recognition as an ITLS Chapter
Required Roles: Chapter Coordinator; Chapter Medical Director
Required Attachments: Letter of support; Curriculum vitae; ITLS instructor cards (if applicable)
Information Collected: Organizational details; geographic coverage; EMS education activities; prior ITLS courses; instructor roster; governance arrangements; training facility description; projected student numbers; course types; language of instruction
Courses Referenced: ITLS Provider Basic; ITLS Provider Advanced; ITLS Provider Combined; ITLS Military; ITLS Duty to Respond; ITLS Pediatric; ITLS Access; eTrauma; eTrauma Completer
Submission Method: Electronic copy submitted to ITLS headquarters
Submission Address: ITLS, 3000 Woodcreek Drive, Suite 200, Downers Grove, IL 60515, United States
Contact Phone: 8888.495.ITLS; 630.495.6442
Fax: 630.495.6404
Website: www.itrauma.org
Required Signatories: Designated ITLS Chapter Coordinator; Designated ITLS Chapter Medical Director
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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