Complete this questionnaire so Arizona Premier CPR can review your current certification, experience, training goals, and readiness to begin the AHA BLS Instructor pathway.

Submitting this form does not guarantee acceptance into the instructor program. Qualified candidates will receive additional information regarding prerequisites, training, monitoring, and next steps.

By submitting this questionnaire, I understand that becoming an AHA Instructor requires meeting applicable prerequisites, completing required Instructor Essentials training, successfully completing instructor training and monitoring, and obtaining appropriate Training Center alignment.