Set Up an External AHA Class

Access Code*

Please Select*

Set Up an AHA Instructor-Led ClassSet Up an AHA Skills Session Only (NOT Ordering AHA Online Keys)Set Up an AHA Skills Session & Order Required AHA Online KeysOrder AHA Online Keys Only (Not Scheduling Yet)

AHA Instructor-Led Class*

AHA Skills Session (Blended)*

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, K12 eCards NOT available)

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*

Hour MinutesAM/PM Option

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

Additional Instructors*

Type names of additional instructors (if applicable), no autofill for this field

Additional Instructors must be aligned with APHE TC to get credit for teaching. Direct your additional instructor to aligncpr.com/align to complete the application and upload instructor certification eCard(s).

TF Monitoring Instructor for Renewal*

NoYes

Class(es) Location Name*

Class(es) Location Address*

Street Address

Street Address Line 2

CityState

Zip Code

Purchase Order #*

Billing Email*

example@example.com

Billing Contact Name*

First NameLast Name

Organization to Bill*

Organization Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code

Key(s)*

	Type of Key	Student First Name	Student Last Name	Student Email Address	Class/Skill Session Date
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You or your organization will be sent an invoice for these Online Keys.

Unless other arrangements have been set up with your organization:

Payment is due at time of invoice, and
Online Keys will be sent once APHE has received your payment.

If you are setting up multiple classes with the same instructor(s) & at the same location, please list additional dates and times here

If different classes, locations, or instructors, please create a new form

Set Up an External AHA Class and/or Order AHA Online Keys