TIER II TRAINING ROSTER
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Trainee Name (First, Last) |
Staff ID Number |
Email Address |
Phone Number |
Provider Type |
Date(s) SPPC-II Tier II Training Attended |
Received completion certificate (Y/N) |
Notes |
[Hospital AIM Team Lead Name] |
101020x |
333-333-3333 |
Nurse-midwife |
11/01/2019 |
Y |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Andreea Creanga |
| File Modified | 0000-00-00 |
| File Created | 2021-06-03 |