Training Faculty Candidate Application

Training Faculty (TF) Application

American Heart Association Emergency Cardiovascular Care Programs
In order to be considered for Training Faculty (TF), you must first be a certified AHA Instructor aligned with the APHE TC.
Are you a certified AHA Instructor?*

YesNo
Since you are not currently certified as an AHA Instructor, please sign up for an AHA Instructor Course.

Please visit aligncpr.com/certify to register for a class.
Are you aligned with the APHE TC?*

YesNo
Since you are not aligned with the APHE TC, you must first apply for alignment.

Please visit aligncpr.com/align to learn more and apply.
Instructions: To be completed by the Training Faculty (TF) candidate with appropriate signatures.
Application for TF Status:*

HeartsaverBLSACLSACLS EPPALSPEARSASLS
Name*

First NameLast Name
Instructor ID #*
Expiration Date of Instructor Card*

MonthDayYear
Date
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*

Area CodePhone Number
Email*
example@example.com
TF Commitment
As a TF member, I agree to:*

Teach at least 4 courses in 2 years in accordance with the guidelines of the AHA.Monitor instructors/instructor candidates/Course Directors in accordance with the guidelines of the AHA.Conduct myself in accordance with the ECC Leadership Code of Conduct.Strengthen and support the Chain of Survival and the mission of the AHA in my community.Avoid any perception of conflict of interest in accordance with the AHA Statement of Conflict of Interest.
Attach a Letter of Recommendation*

Browse Files

Cancelof
Signature of TF Candidate*

Clear
Date*

MonthDayYear
Date
TC Access
TC Alignment

I approve this application and grant alignment with this TC for this applicant and agree to all responsibilities for this TF member, as outlined in the current Program Administration Manual.
TC Name*
TC ID #*
Signature of TC Coordinator

Clear
Date

MonthDayYear
Date
Should be Empty:

Training Faculty (TF) Application