Participant Sign in By Instructor

For CBRF Instructor Use Only

Students: Please use "Participant Sign In" located on aphed.com/class-links
Access Code*
Instructors Only
Today's Date*

MonthDayYear
Date
Course Number*
CBRF Instructor*
Please start typing. Then, select the Lead Instructor name from the list.
CBRF Course*
Student Name (how it will appear on the WI CBRF Registry)*

First NameMiddle NameLast Name
Student Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Upload Photo of the Student's Driver's License*

Supported Formats: PDF, JPG, JPEG, PNG
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Only students with a signed APHE Participant Agreement may participate in class.

Printed Version: aphed.com/instructor-resources

Digital Version: aphed.com/participant-agreement
APHE Participant Agreement.*

Digital VersionPaper Version
Upload Scanned PDF of APHE Participant Agreement*

PDF Only. You Can Download a PFD Scanner (i.e. GeniusScan) on your Mobile Device.
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Should be Empty:

For CBRF Instructor Use Only