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

TF Monitoring Instructor for Renewal*

NoYes

Class(es) Location Name*

Class(es) Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Billing Email*

example@example.com

Billing Contact Name*

First NameLast Name

Organization to Bill*

Organization Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Key(s)*

	Type of Key	Student First Name	Student Last Name	Student Email Address	Class/Skill Session Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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18
19
20

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