Fillable Aha Roster Form – Fill Out and Use This PDF

The Aha Roster form serves as a comprehensive directory, designed to meticulously compile all crucial details about participants in a specific program or event. It stands as an essential tool for organizers to manage and coordinate activities efficiently, ensuring no detail is overlooked. For those ready to streamline their process and secure their participant data, simply click the button below to start filling out the form.

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Fillable Aha Roster Form PDF Details

Keeping track of participation in various events and activities requires a systematic approach, and the Aha Roster form provides an excellent solution for this purpose. This form is designed to simplify the process of recording attendances, offering organizers an efficient way to manage their records. It caters to the needs of both small scale gatherings and large events, making it a versatile tool in the arsenal of event management. By ensuring each participant is accounted for, the form aids in the smooth running of events, enhancing the overall experience for both organizers and attendees. Whether it's for academic purposes, sports events, workshops, or any other gathering, the Aha Roster form is tailored to capture the essential information, thereby streamlining the administrative workload and improving organizational accuracy. Its user-friendly layout not only facilitates easy data entry but also makes the subsequent retrieval of information hassle-free, proving it to be indispensable for effective participant management.

Question	Answer
Form Name	Fillable Aha Roster Form
Form Length	2 pages
Fillable?	Yes
Fillable fields	101
Avg. time to fill out	30 sec
Other names	get the aha bls roster form, aha instructor network, fillable aha roster, american heart association instructor network

How to Fill Out Form KJ-1216 BLS

Form KJ-1216 BLS at a glance

What it is: Basic Life Support Course Roster, Emergency Cardiovascular Care Programs, KJ-1216 BLS R10/20, American Heart Association.

Who signs: Signature of Lead Instructor Date.

A filled-in Form KJ-1216 BLS example: a lead instructor lists a class

Form KJ-1216 BLS example filled out, example: a lead instructor lists a class — A lead instructor fills out the BLS course roster for one class. The class ran 4 hours, one assistant helped, and two cards were issued. The picture shows page 1 only, and every value in it is made up.

How to fill out Form KJ-1216 BLS, box by box

BLS Course

BLS Course, BLS Renewal Course, HeartCode® BLS, BLS Instructor Course.

Lead Instructor and Training Center

Enter the Lead Instructor, the Lead Instructor ID# and the Card Expiration Date.

Enter the Training Center, the Training Center ID# and the Training Site Name (if applicable).

Address and Course Location

Enter the Address, the City, State ZIP and the Course Location.

Course dates, hours and cards

Enter the Course Start Date/Time, the Course End Date/Time and the Total Hours of Instruction.

Enter the No. of Cards Issued, the Student-Manikin Ratio and the Issue Date of Cards.

Assisting Instructors

Under Assisting Instructors, enter the Name and Instructor ID# and the Card Exp. Date.

Signature of Lead Instructor

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.

Name and Email

Enter the Date, the Course, the Lead Instructor and the Lead Instr. ID#.

Under Name and Email, please PRINT as you wish your name to appear on your card. Please print email address legibly.

Enter the Mailing Address/Telephone, Complete/ Incomplete and Remediation/Date Completed (if applicable).

Sources

[1] Basic Life Support Course Roster (KJ-1216 BLS R10/20), American Heart Association (the Official source link on this page).