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Instructor Application
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Email
*
Your email
Name
*
Your answer
Email
*
Your answer
City and State
*
Your answer
Phone number
*
Your answer
Are you currently CPR certified? If so, which organization?
*
Your answer
Are you currently or have you ever been a CPR Instructor?
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Yes
No
Other:
If you are currently an instructor or have previously taught, which course provider were you certified by?
Your answer
How did you hear about this opportunity?
Your answer
List the current employer that you will be teaching for. If you plan to teach for your own company leave that info.
*
Your answer
Please indicate any current professional licenses or certifications that you hold:
Your answer
List any two non-relatives who would be willing to provide a reference for you.
*
Your answer
Send me a copy of my responses.
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