CAPT Example One, DMD, MPH, FAGD, MAGD

PHS #12345

May 2012

CV SUMMARY SHEET

PRECEPT #1: PERFORMANCE

Current Leadership Role/ Mission Contribution to Agency

·  XXXXXXXXXX

·  XXXXXXXXXX

Commissioned Corps (CC) Awards

CC Individual Honor Awards / Date
CC Unit Honor Awards
SERVICE AWARDS (enter the number for each type of award received)
SAA / ISOHAR / HDA / NEPA / CRSA / FDA / RSR / RSA

Other CC and Non-CC Honor Awards (e.g. DePAC, agency, or professional organization)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

PRECEPT #2: EDUCATION, TRAINING, AND PROFESSIONAL DEVELOPMENT

Degrees, Residencies, and Post-Doctoral Training (with dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

Certifications/Credentialing: Board Eligible/Board Certified, FAGD, MAGD (with dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

Public Health Training/Experience (with dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

· 

PRECEPT #3: CAREER PROGRESSION AND POTENTIAL (limit to one row per position)

Position Title / Agency/Location / Pay Grade / Billet Level / Dates

Significant Collateral Duties (with dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

PRECEPT #4: PROFESSIONAL CONTRIBUTIONS/ SERVICE TO THE CORPS (OFFICERSHIP)

Dental Professional Advisory Committee (DePAC) Activity (with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

Recruitment and Mentoring (with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

· 

Other Official CC/PHS Activities(with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

Professional Organizations (with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx-xxxx

CV BODY SHEET

PRECEPT #1: PERFORMANCE

Current Leadership Role/ Mission Contribution to Agency

·  XXXXXXXXXX

·  XXXXXXXXXX

Commissioned Corps (CC) Awards

CC Individual Honor Awards / Accomplishment / Date
CC Unit Honor Awards
SERVICE AWARDS (enter the number for each type of award received)
SAA / ISOHAR / HDA / NEPA / CRSA / FDA / RSR / RSA

Other CC and Non-CC Honor Awards (e.g. DePAC, agency, or professional organization)

Awards / Accomplishment / Date

PRECEPT #2: EDUCATION, TRAINING, AND PROFESSIONAL DEVELOPMENT

Degrees, Residencies, and Post-Doctoral Training (with dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Certifications/Credentialing: Board Eligible/Board Certified, FAGD, MAGD (with dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Public Health Training/Experience (with dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

PRECEPT #3: CAREER PROGRESSION AND POTENTIAL

Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

·  XXXXXXXXXX

·  XXXXXXXXXX

· 

Collateral Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Collateral Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Collateral Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Collateral Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

Collateral Duties:

·  XXXXXXXXXX

·  XXXXXXXXXX

PRECEPT #4: PROFESSIONAL CONTRIBUTIONS/ SERVICE TO THE CORPS (OFFICERSHIP)

Dental Professional Advisory Committee (DePAC) Activity (with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Recruitment and Mentoring (with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Deployments (with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Other Official CC/PHS Activities(with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Professional Organizations (with roles and dates)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Presentations (title, location, date)

·  XXXXXXXXXX xxxx

·  XXXXXXXXXX xxxx

Publications (authors, article, publication, date)

·  XXXXXXXXXX

·  XXXXXXXXXX

Page 4 of 5