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Join DMAT |
| If you
live within 100
miles of
Dayton, Ohio,and would like to join the Dayton DMAT team or obtain
additional information, please provide us your contact information. You
may email the team Administration through
the Contact Page,
or you may
contact Pat
Bernitt
direct at: Or
by
phone
at: 937-424-2364 ![]() |
Requirements Age - In order to deploy with the Dayton DMAT, you must be 21 years of age. Physical/Mental - In order to deploy, a member should be physically and mentally up to the challenge. Deployments can inflict a great deal of physical and mental stress on a member. A fit body and a level head go a long way in helping a member support his team while deployed. A history that includes the ability to work well with others is required. Federal
Employee - All applicants
must be accepted by the National Disaster Medical System for
intermittent
employee status. This is not a trivial chore! Applicants must
pass a background security check, and file many forms. FEMA
courses IS 100, 200, 700, and 800B must be also completed
before an application is sent on to the NDMS for processing. Each member will receive
proper identification
from
the NDMS before they may deploy. Team Process
- An Applicant must be qualified for the position
requested and meet the above qualifications. Those
wishing to join
DMAT must be approved by DMAT leadership and NDMS.
Applicants will be denied membership on the team due to a failure to
pass a back-ground check. Each member is also required to
maintain required vaccinations. Field
Exercise
- All
members
who wish to deploy must first attend a week-end field training exercise
that includes an over-night stay. DMAT team
members are expected to continue as active and supportive members by
participation in team activities such as warehouse work, planning
meetings and trainings. |
Position Classification
When joining the Dayton DMAT, you will need to select a job classification that most closely describes your function on the team. The team administrator can also assist you in identification of a proper classification. The following is a partial list of job classifications available:
| Title | GS Scale | Minimum Requirements |
| Administrative Clerk - Aid | 303-03 | 6 months experience in clerical, office or equivalent. |
| Chaplain | 060-12 | Graduate of a seminary and 4 years experience. |
| Dental Officer | 680-13 | DDS or DMD with 3 years experience. |
| Health Tech EMT-B | 640-05 | EMT-B license and 1 year experience. |
| Health Tech EMT-I | 640-06 | EMT-I license and 1 year experience. |
| Health Tech EMT-P | 640-07 | EMT-P license and 2 years experience. |
| Health Technician Leader | 640-09 | 3 years specialized experience or 1 year of experience with master's degree. |
| LPN / Vocational Nurse | 620-05 | Graduate of a school of nursing, current license, and 1.5 years experience. |
| Logistics Coordinator | 303-07 | 2 years of general office work experience and 1 year of experience related to DMATs. |
| Medical Records Technician | 675-05 | 1 year experience with occupation or related field. |
| Medical Supply Technician | 622-05 | 2 years experience with occupation or related field. |
| Medical Tech Laboratory Tech |
645-05 | One year experience with occupation. Certification or current license. |
| Mental Health Specialist | 101-11 | PhD or 3 years of graduate education in social science field or masters and 1 year work. |
| Nursing Assistant | 621-4 | At least 3 months of experience in field. |
| Nursing Assistant Surgical Tech | 621-3 | At least 6 months of experience in field. |
| Nursing Assistant Stretcher Bearer | 621-2 | At least 3 months of experience in field. |
| Nurse Practitioner | 610-11 | Current License and 2 years experience and certification as nurse practitioner. |
| Pharmacist | 660-11 | 4 year course of study and 1 year of internship and 1 year of professional experience. |
| Pharmacy Tech | 661-05 | 1 year experience as pharmacy tech or assistant. |
| Physician Assistant | 603-11 | 2 years experience at a PA. |
| Respiratory Therapist | 651-07 | 1 year experience as a respiratory therapist and bachelor's degree. |
| Senior Medical Officer | 602-14 | MD or DO with current license. 3 years experience post graduate. Can include residency |
| Staff Medical Officer | 602-13 | MD or DO with current license. 1 year experience post graduate. Can include residency |
| Staff Nurse | 610-05,06,07 | Current license with 1 to 3 years experience. |
| Supervisory Clinical Nurse | 610-11 | Current license with 3 to 4 years experience. Experience in supervising a nursing staff. |
| Telecommunications Specialist | 0391-07 | One year experience with Telecommunications, etc. |
| Telecommunications Specialist | 0391-09 | One year experience as 0391-07 Telecommunications Specialist |
| Telecommunications Specialist | 0391-12 | One year experience as 0391-09 and appointed Communications Officer |
The last two digits after the hyphen indicate the GS grade level. Job code 0391-12 would have a GS grade level of 12. All DMAT personnel receive "Step 1" of their grade level. If you would like to see what the GS Wage Scale pays for any position, Click Here
Applications
DHHS/NDMS/Disaster Medical
Assistance Team
DMAT
OH-5 Applicant Instructions
DHHS has announced the new application process for pending and new applicants. It will be a 3 step process as follows:
FIRST STEP:
1) OF 612 Optional Application for Federal Employment complete or with resume. If you submit just a resume, it must include all the information requested on the OF 612 form. (Form 612 is only optional, if all of the requested information is in the resume.) Include hours worked per week for each position, current and past. Include detail of your work experience in your current job and past positions. Section F must be completed. DHHS will check to see is males are registered in the Selective Service. If you answer YES to Section F4 you must include your final SF50 form. BE SURE TO SIGN and DATE the form OF 612 and/or resume.
2) NDMS Member Information form.
3) Copies of education degrees and licenses for medical positions
4) Direct Deposit Form – Attached voided check for financial institution info
5) NEW REQUIREMENT: Provide copies of FEMA Certificates of Completion for IS-100 IS-200, IS-700 and IS-800B NIMS courses. You can complete these courses online: http://training.fema.gov
6) MAIL ALL THE COMPLETED FORMS TO:
SECOND STEP:
1) When your OF 612 application from step one is approved by DMAT OH5 and DHHS you will be required to be fingerprinted and to complete the Personal Identity Verification (PIV) Form. DMAT OH-5 Management Team will send these completed forms to DHHS.
2)
You will receive an email from psc.hhs.gov
to complete e-QIP – this is your background check
information.
Follow
all
the suggestions in
the instructions regarding your PC settings to complete this online
requirement. Based
upon this process requirement, if you do not complete the e-QIP process
within
the allotted two attempts, you will be required to reapply to NDMS as a
NEW
Applicant.
·
Your HHS Credit Release Form
· Your
Declaration
of Federal Employment, (Option Form 306)
·
EQIP
website: http://www.Opm.Gov/e-qip/
THIRD
STEP: After your
background check is approved
1)
E Induction:
You will be notified by via email to complete the On-Line
Induction
process. After completing the
forms listed below, you will meet with team
leadership who will review and approve.
Contact Patricia K. Bernitt, Administrative Officer, DMAT OH-5
for an
appointment at (937) 694 2164.
a) Rules of Behavior – read and sign
b) I-9 – Two IDs or Passport, see list of approved IDs
c)
Appointment Affidavit (do not sign) – Must be witnessed and be validated by
team
leadership
d) W-4
e) Declaration of Federal Employment
f) Education Data Update Form
g) Race & National Origin
h) Record of Home Address
i) Self identification of Handicap
All forms can be faxed or scanned
and emailed, EXCEPT the W-4 and I-9
-- these two forms must be
mailed by team management.
| Step One Forms |
|
| Form Name | Description |
| Member
Information |
NDMS member information form - Department of Health and Human Services. |
| Form OF-612 |
Optional
Application for Federal Imployment. |
| Form SF 1199A |
Direct
Deposit
-
Dept of
Treasury. |
| Step
Two
Forms |
|
| Form Name | Description |
| Credit
Release |
HHS Credit Release Form. |
| Form OF 306 (8.5" by 14") | Declaration of Federal Employment - U.S. Office of Personnel Management. |
| Step
Three
Forms |
|
| Form Name | Description |
| Form I-9 | Employment Eligibility Verification - Department of Justice/Immigration and Naturalization. |
| Form FW4 | W-4 - Internal Revenue Service. |
| Form SF 181 | Race and National Origin Identification - U.S. Office of Personnel Management. |
| Form SF 256 | Self Identification of Reportable Handicap. |
| Form SSRS | Statement of Selective Service Registration. |
| Form 61 | Appointment Affidavit - (The team Administration Officer can notarize.) |
| Form 85P | Questionnaire for Public Trust Positions. |
| Employee Information | Employee Information (NDMS). |
| Employer’s Approval | This
form certifies your current employer's approval of your participation
with DMAT. |
| Conduct
Receipt
Form |
Read the two
standards below, then
sign the Concuct Receipt form at the left. Standards Guide and Standards Update |
Should you have questions
filling out your application forms, please contact our Administrative
Officer, Pat Bernitt. We realize this process can be a bit
overwhelming, but stick with it, and do a bit at a time. You may also
wish to use team personnel to help mentor you through the process.
Please also remember that this process is not a speedy one and that it
may take many months for all the peices to come together and to be
processed through to completion.