Apply for AHA Instructor Alignment

Name*

Email*

Choose the Instructor Discipline you are Applying For *
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Choose Packages for Aligned Instructors *
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Renewal date of your AHA Provider Ecard *

Upload your current AHA Ecard certificate and Resume *

Mailing Address *

Phone Number *

Instructor Commitment, Terms and Conditions: *
1.Teach at least 4 courses in 2 years in accordance with the guidelines of the AHA 2. Maintain a current provider card 3. Strengthen and support the Chain of Survival and the mission of the AHA in my community 4. Conduct myself in accordance with the ECC Leadership Code of Conduct

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