International Training Application Form

 
  • International Training Application

    The American Heart Association appreciates your efforts to spread the mission of the AHA around the world. We are dedicated to the development of high-quality AHA training programs. This form provides the initial information required to evaluate requests by instructors that wish to conduct  AHA courses outside of their home country. Incomplete forms will not be processed and will result in a delay of approval. Allow 4 weeks for processing.

  •  /  / Pick a Date
  • Requesting Instructor Information

  • **At least one contact number is required**

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  • Both sides of instructors’ cards should be emailed to ECCInternational@Heart.org
    or you can upload the files here.

  • Upload a File
  • Sponsor Training Center Information

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  • Course Location Information

  • (Be as specific as possible)

  • **At least one contact number is required**

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  • Additional Course Information

  • (Be as detailed as possible)

  •  Course DateType
    (Choose from the following:
    ACLS, BLS, HS, PALS, PEARS)
    Instructor or ProviderLanguage# of studentsNames of additional instructors
    (please copy cards as noted above)
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    2.
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    6.
  •  Manual
    (Choose from the following:
    ACLS, BLS HCP, Heartsaver, PALS, PEARS)
    Number IssuedDate Issued to StudentManual Language
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    2.
    3.
    4.
  • Submission Instructions

    For faster processing, ask your Training Center Coordinator to send an email approving the course and accepting responsibility for course quality, monitoring and issuing course completion cards as outlined in the Program Administration Manual. Within 4 weeks of course completion, the following must be submitted via email to eccinternational@heart.org : copies of course rosters, photos of the training illustrating equipment used, students with provider manuals and venue.

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  • Should be Empty: