Training Center Faculty Application TCF Candidate Name(Required) First Last AHA Instructor ID(Required) Expiration Date of Instructor Card(Required) MM slash DD slash YYYY Discipline(Required)BLSACLSPALSAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Letter of Recommendation from Current TCFMax. file size: 256 MB.Upload PDFAs a Training Center Faculty Member, I agree to: Teach at least 4 provider courses in 2 years Monitor instructors/instructor candidates/Course Directors in accordance with the guidelines of the AHA Strengthen and support the Chain of Survival and the mission of the AHA in my community Conduct myself in accordance with the ECC Leadership Code of Conduct Avoid any perception of conflict of interest in accordance with the AHA Statement of Conflict of Interest Consent(Required) I agree to the above listed responsibilities for a Training Center Faculty member.
