Get Instructor Candidate Application - Georgiahealth

Completing the Instructor Candidate Application is essential for individuals seeking to become instructors for American Heart Association courses. This guide provides a clear, step-by-step approach to filling out the application accurately and efficiently in an online format.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application and open it in an online document editor.
2. In the first section, provide your full name along with any relevant credentials. Ensure that this information is accurate as it will be used for official purposes.
3. Enter your mailing address, including the city, state, and ZIP code. This information is critical for correspondence regarding your application.
4. Fill in your phone number and fax number, if applicable. This contact information is important for verification and communication.
5. Provide your email address, as this will be a primary method of communication regarding your application status.
6. Select the type of instructor course for which you are applying by choosing from options such as Heartsaver, BLS, ACLS, or PALS.
7. Indicate the recommended renewal date for your provider card in the discipline for which you seek instructor status. This helps maintain the validity of your certification.
8. Read and acknowledge the Instructor Commitment statement. Your signature here confirms your agreement to the teaching requirements and mission of the American Heart Association.
9. If applicable, the Training Center (TC) Coordinator will need to review and approve your application. They will also need to sign and date the document.
10. The Verification of Instructor Potential section must be completed by the TCF/Course Director/Lead Instructor. Ensure they sign and date it, noting their title.
11. Once all sections are completed and signatures are in place, review your application for accuracy. You can then save the changes, download, print, or share the finalized application.

Complete your Instructor Candidate Application online today and take the first step towards becoming an AHA instructor.