Set Up an External AHA Class
Please complete this to report your upcoming courses.
Access Code
Lead Instructor
*
Please select name from list.
Unlisted Instructor
*
First & Last Name, please. We will get you added to the official list soon
Lead Instructor Email
*
example@example.com
Class(es) Location Name
*
Class(es) Location Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
AHA Course
*
Please Select
BLS Provider
BLS Renewal
BLS Skills Session/Blended
Heartsaver First Aid CPR AED Class (CAFA 1)
Heartsaver First Aid CPR AED Skills Session/Blended (CAFA 2)
Heartsaver First Aid CPR AED Virtual (CAFA 3)
Heartsaver CPR AED Class (CPR 1)
Heartsaver CPR AED Skills Session/Blended (CPR 2)
Heartsaver CPR AED Virtual (CPR 3)
Heartsaver First Aid Class (FA 1)
Heartsaver First Aid Skills Session/Blended (FA 2)
Heartsaver First Aid Virtual (FA 3)
Bloodborne Pathogens Class
Family & Friends CPR Class
ACLS Provider (2 day)
ACLS Update (1 day)
ACLS Skills Session
PALS Provider (2 day)
PALS Update (1 day)
PALS Skills Session
ACLS-EP Provider
PEARS Provider
CPR Modules Being Taught
*
Adult, Child & Infant (a)
Adult (b)
Child & Infant (c)
Adult & Child
First Aid Course Taught
*
Basic (Does Not Meet OSHA Requirements)
Total (Meets OSHA Requirements)
K-12 or Heartsaver Class
*
K12-C: Class taught to students or staff of a 4K, Elementary, Middle or High School.
HS-C: Class taught outside a K-12 School.
Course Date & Start Time
*
/
Month
/
Day
Year
Hour Minutes
AM
PM
AM/PM Option
Additional Instructors
*
Type names of additional instructors (if applicable), no autofill for this field
TF Monitoring Instructor for Renewal
*
No
Yes
If multiple classes with the same instructor(s) at the same location, add additional dates and times here
*
If different classes, locations, or instructors, please create a new form
Submit
Should be Empty: