Training Site Renewal

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Training Site Contact Information

Training Site:*

Training Site Coordinator:*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Insurance and Compliance

Certificate of General Liability Insurance:*

Max. file size: 256 MB.

Use of Instrumented Manikins for Skills Testing:*

I attest that my Training Site is operating in full compliance with the American Heart Association’s implementation of instrumented manikins. More Info

Use of AHA Materials:*

I attest that my Training Site is operating in full compliance with the American Heart Association’s policy on the use of AHA materials. More Info

2020 AHA Updates:*

I attest that my Training Site is only utilizing American Heart Association student workbooks, course videos, and instructor manuals which are published after October 2020.

2020 AHA Updates:*

I attest that all affiliated instructors have completed the 2020 American Heart Association Instructor Update courses for the disciplines which they teach.

Instructor Roster

List All Instructors:*

Include Training Site Coordinator if they are an instructor.

First Name

Last Name

Instructor Card Expiration

Future Support

How can we help?*

As your Training Center, Code One is committed to providing support for your Training Site. What can we do to help you next year?

Comments:

Name

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