Questions? Call Now:
HOME
IN-PERSON COURSES
NEW! VIRTUAL COURSES
SKILLS CHECK ONLY
CONTACT
More...
Instructions: To be completed by the instructor candidate with appropriate signatures. Complete 1 application for each discipline.
SECTION 1:
Application for Instructor Status: Select the discipline you are applying for (select only 1)
Renewal Date of Provider Card:
SECTION 2:
Instructor Commitment: As an AHA Instructor, I agree to the following:
Signature of Instructor Candidate
Thank you for submitting. A member from our staff will be in touch shortly.