Instructor Candidate Registration Instructor Candidate Registration Instructor Candidate Name* First Last Email* Phone*AHA Provider Status*BLS Instructors must have current BLS Provider certification. Heartsaver Instructors must have current Heartsaver First Aid CPR AED, Heartsaver CPR AED, or Heartsaver Pediatric First Aid CPR AED certification. I have a current American Heart Association certification in the discipline for which I am attending instructor training. Training Center Affiliation*All instructor candidates must obtain affiliation with an American Heart Association Training Center and upload a completed Instructor Candidate Application signed by the Training Center Coordinator accepting the candidate. I have been approved by an American Heart Association Training Center for affiliation. I am joining an existing Code One Training Site and have approval from the Training Site Coordinator. I plan to apply for instructor affiliation with Code One or another American Heart Association Training Center. I have reviewed the requirements for Training Site Affiliation here: https://code1web.com/tsapp Observation and Monitoring* I acknowledge that to become an instructor I will need to attend observation and monitoring of courses conducted at a Code One Training Solutions office which provides instructor-led training. These locations are: Savannah GA, Charleston SC, Allentown PA, Stamford CT, Woodbridge CT, East Hartford CT, or Shrewsbury MA.