Get Education Program Instructor Application Form - Naemt

Completing the Education Program Instructor Application Form - NAEMT online can be a straightforward task if you follow the steps outlined in this guide. This form is essential for individuals who wish to become instructors for NAEMT programs.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your instructor candidate name in the designated field to identify yourself on the application.
3. Next, complete your address information, including street address, city, state, and zip code. Ensure that all details are accurate for correspondence purposes.
4. Provide your contact information by entering your phone number and email address in the appropriate fields.
5. Indicate whether you are a current member of NAEMT by selecting ‘Yes’ or ‘No’. This will help the organization assess your membership status.
6. Respond to the question about your affiliation with course sites by selecting ‘Yes’ or ‘No’. If you select ‘Yes’, list the course sites in the space provided.
7. Select the requested program you wish to teach by checking the appropriate box for AMLS, EPC, GEMS, LEFR, PHTLS, Safety, TCCC, or TECC.
8. Fill in your provider course number and the completion date, as well as your provider course score and instructor course score in the relevant fields.
9. Remember that all fields are mandatory; ensure that you have completed every section of the form thoroughly.
10. After completing the form, gather the required documents, including a copy of your current provider card and your instructor course completion certificate, and submit everything via email to education@naemt.org.

Begin your application process now and complete your documents online.