CPR Instructor Affiliate Program- Agency Interest Form
Complete this form to learm more about bringing CPR training in-house through CareArmor.
Agency Information
*
Contact Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
About your Agency
How many DSPs/staff member would need CPR Training?
*
1-10
11-25
26-50
50+
How are you currently handling CPR training?
Outsource to external instructors
Hybrid (some internal, some external)
Fully Internal
Other
If you selected other please describe below.
What challenges are you currently experiencing with CPR Training? (check all that apply)
*
Scheduling Delays
Staff Onboarding delays
HIgh Cost
Inconsistent trianing availability
Compliance Concerns
Other
If you selected other please describe below
Program Fit
Do you have a team member in mind to become your CPR Instructor?
*
Yes
No
Not yet, but we will
How soon are you looking to impliment a solution?
*
ASAP
Within 30 days
1-3 months
Just Exploring
Additional Information: Tell us anything else about your agency or questions you have:
Preferred method of contact
*
Email
Text
Phone call
Best time to reach you
Morning
Afternoon
Flexible
Date
*
-
Month
-
Day
Year
Date
Submit
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