First Aid CPR Instructor Application
Mahalo for your interest in becoming a First Aid/CPR Instructor for Hawaiʻi Island. We are opening this training course to up to 10 Hawaiʻi Island individuals per session. We hope to train at least (1) Instructor per district in each round.
What Instructor Class are you applying for?
*
Please Select
Monday, March 25, 2024
Monday, October 21, 2024
Legal Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
District
*
Please Select
Hilo
Puna Makai
Puna Mauka
Kaʻū
Kona
North Hawaiʻi
Hāmākua
Phone Number
*
Please enter a valid phone number.
Do you have a current basic-level certification in First Aid/CPR/AED or equivalent? If so, please upload a copy of your certification.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have any experience/background in healthcare, First Aid, or CPR? If so, please list it here.
How many First Aid/CPR certification workshops do you commit to holding in the 12 month period following the Instructor training?
*
Are you willing to teach First Aid and CPR classes for a nominal fee?
*
Yes
No
How many years will you keep your Instructor certification active?
*
Please indicate the (3) primary audiences you plan to provide First Aid/CPR certification to. (Select your top 3)
*
Employees
Faith Community
Youth
Kupuna (Over age 60)
People in my neighborhood
Native Hawaiian
Other
Are you currently a member of a Vibrant Hawaiʻi Resilience Hub Team?
Yes
No
No, but I would like to join a team
Submit
Should be Empty: