Bioterrorism Surveillance/ Epidemiology Staff Request

(Separate request form required for each staff category, e.g., epidemiologist—Please limit request to one page—Arial 11 point font)

 

Position Title:

Number Positions Requested:

Position Description/Narrative: Briefly describe the duties and responsibilities of the position(s)

Critical Capacity/ Critical Benchmark/Related Strategies Addressed: Please cite the Critical Capacity (s), Critical Benchmark (s), or Related Strategies addressed (by number/letter and the application of the position requested to them.

Bioterrorism Application: How will the staff member(s) be involved in surveillance/epidemiology for bioterrorism?

Statewide Response: How might this position be available for a statewide response to bioterrorism?

Impact during the Funding Period: What impact on surveillance and epidemiology will the position make during the first year of funding? The Funding period will end on 8/31/03.