AHA Upload form

CTC Instructor Roster Upload Form

AHA Training Center MA 00633
Section 1- About the class:
Lead Instructor*

First NameLast Name
AHA Instructor ID Number
Instructor Email*
example@example.com
Instructor Status Exp Date*

MonthDayYear
Instructor Phone Number

Area CodePhone Number
Section 2- Upload your AHA Roster- (Must be current version)
Scan your roster- front & back, and upload it with this link. (Can be .pdf, .jpg, .doc, etc...)*

Browse Files

Cancelof
Section 3- Select the class type:
Type of AHA Class*

ACLS ProviderPALS ProviderPEARS ProviderBLS ProviderACLS for Exp ProvidersHeartSaver CPR AEDHeartSaver CPR AED with Child CPRHeartSaver CPR AED with Child CPR with Written ExamHeartSaver CPR AED with Child and Infant CPRHeartSaver CPR AED with Child and Infant CPR with Written ExamHeartSaver First AidHeartSaver First Aid with ExamHeartSaver First Aid CPR/AEDHeartSaver First Aid CPR/AED With ExamHeartSaver First Aid CPR/AED With Child CPRHeartSaver First Aid CPR/AED With Child CPR and ExamHeartSaver First Aid CPR/AED With Child and Infant CPRHeartSaver First Aid CPR/AED With Child and Infant CPR with ExamHeartsaver Pediatric First Aid CPR AEDHeartsaver Pediatric First Aid CPR AED with Adult CPRHeartSaver K-12Instructor- BLSInstructor- ACLSInstructor- ACLS-EPInstructor- PALS
Section 4- Upload Student Data

There are two ways to enter your student data:

Option 1- Manual Data Entry- (Best for small classes)- Enter the class date, first & Last name and the students email address and click "Save, & add student" (After the last student- remember to click "save & add" to save that student)

Option 2- Upload a completed spreadsheet (Blank template availabe below)
Option 1- Manual Data Entry: Enter Student info. (you can not mix class types on one roster. i.e. if you taught a BLS and an ACLS class, you must create 2 electronic rosters.)
Be sure to click "Save & add..." after your last entry.

OR
Option 2- Upload your Excel spreadsheet

Browse Files

Cancelof
Any notes or comments:
Section 5- Payment:

HeartSaver eCards are $22.50

HeartSaver K-12 eCards are $12.50- Can be used for Students, Teachers and School Staff certification in primary schools

BLS for Health Care Provider, ACLS or PALS Card are $12.50

Multiply the number of cards requested X your card cost and enter total below.

There are two options for payment:

Option 1- Online credit/debit card payment.

Option 2- Preapproved instructors can be invoiced.

Option 1- Credit Card Payment

USDEnter the amount that you wish to pay

Payment Methods

Credit Card

Apple Pay

Google Pay

Option 2- Invoice me

Invoice me (pre-approved instructors only)
Training Site, Institution or Company (If applicable)
Use this field if you want the cards invoiced to an approved organization.
Please preview your data, then press submit (If the screen does not advance- scroll up, you most likely omited a required field)
Should be Empty:

CTC Instructor Roster Upload Form

Payment Methods