Aha Bls Roster 2016 PDF Details

Aha Bls Roster 2016 is a list of the most recent and up-to-date sources for legislation. This roster is updated as new legislation emerges, so it is always current and accurate with all amendments to date. The AHA website offers information on legislative updates from legal scholars in over 30 countries around the world. Aha bls roster 2016 also includes links to other resources such as scholarly articles, international news and blog posts related to law and politics.

We've collected some interesting facts about the aha bls roster 2016. You will have the assumed time it might require you to complete the form and a few extra details.

QuestionAnswer
Form NameAha Bls Roster 2016
Form Length2 pages
Fillable?Yes
Fillable fields94
Avg. time to fill out19 min 22 sec
Other namesbls roster pdf, aha bls roster, aha healthcare provider roster, aha bls test version 1

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Basic Life Support Course Roster

Emergency Cardiovascular Care Programs

  Course Information

……BLS Course (instructor-led)

……HeartCode® BLS

……BLS Instructor

Lead Instructor __________________________________________

Lead Instructor ID#

Card Expiration Date

Training Center

Training Center ID#

Training Site Name (if applicable)

Address

City, State ZIP

Course Location

Course Start Date/Time

 

 

Course End Date/Time

 

 

Total Hours of Instruction

 

 

No. of Cards Issued

 

 

Student-Manikin Ratio

 

 

Issue Date of Cards

 

 

 

 

 

 

 

 

 

 

 

 

 

Assisting Instructor

(Attach copy of instructor aligned with a TC other than the primary TC)

 

 

 

 

 

 

 

 

 

Name and Instructor ID#

Card Exp. Date

Name and Instructor ID#

Card Exp. Date

 

 

 

 

 

 

 

 

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I verify that this information is accurate and truthful and that it may be confirmed. This course was taught in

accordance with AHA guidelines.

 

 

 

 

 

 

 

 

 

Signature of Lead Instructor

 

 

Date

 

 

KJ1216  BLS  4/16  © 2016 American Heart Association

Course Participants

Date

 

Course

 

Lead Instructor

 

Lead Instr. ID#

 

 

 

 

 

 

 

 

 

 

 

 

Name and Email

 

 

 

 

Complete/

Remediation/Date

 

 

Mailing Address/Telephone

 

Completed

Please PRINT as you wish your name to appear on your card. Please print

 

 

Incomplete

 

email address legibly.

 

 

 

 

(if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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KJ1216  BLS  4/16  © 2016 American Heart Association

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aha bls test version 1 empty fields to complete

Type in the expected details in the space I verify that this information is, Signature of Lead Instructor, Date, and KJ1216 BLS 4/16 © 2016 American.

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It's essential to write down certain data in the section Course Participants, Date Course Lead Instructor Lead, Please PRINT as you wish your name, Name and Email, email address legibly, Mailing Address/Telephone, Complete/ Incomplete, Remediation/Date, and Completed (if applicable).

aha bls test version 1 Course Participants, Date Course Lead Instructor Lead, Please PRINT as you wish your name, Name and Email, email address legibly, Mailing Address/Telephone, Complete/ Incomplete, Remediation/Date, and Completed (if applicable) fields to insert

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Entering details in aha bls test version 1 part 4

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