BLS Instructor Course

TRAINING FACULTY CHECKLIST

Training Faculty Paperwork Checklist

 

New Instructor Course Paperwork

Print a copy of the below files for each instructor candidate.

 



 

Paperwork Submission Guidelines

To be uploaded at Instructor Intake Form - Prime Medical Training

Send all course paperwork via the form below as one file in PDF format for each instructor in the order listed below. Pictures of paperwork will not be accepted.

 

Instructor Intake Form

New Instructor (To Send to Prime Medical) 

 

File format: “Instructor Course_[discipline]_[instructor name].pdf”

 

  1. Instructor Candidate Application

  2. Copy of Provider card

  3. Instructor Essentials Certificate

  4. Instructor Essentials Test

  5. Monitoring Form

  6. AHA Instructor Intro Quiz (FOR PRIME CLASSES ONLY

  7. AHA Affiliation Agreement (FOR PRIME CLASSES ONLY)

 

 

New Instructor (BEGIN CPR Requirements)

 

File format: “Instructor Course_[discipline]_[instructor name].pdf”

 

  1. Instructor Candidate Application

  2. Copy of Provider card

  3. Instructor Essentials Certificate

  4. Instructor Essentials Test
  5. Monitoring Form

  6. Valid Identification (State ID or Driver's License preferred)

  7. Create a statement indicating Instructor's can issue cards if they are a training site or is connected to a training site

  8. Print out of AHA Instructor Introduction from Prime Medical link

 

Renewing Instructor 

 

File format: “Renewal [year]_[discipline]_[instructor name].pdf”

 

Transferring Instructor

File format: “Transfer_[discipline]_[instructor name].pdf”