CPR Instructor Interest

If you are interested in becoming a CPR instructor, please fill out the form below. Our Training Center Coordinator will be in touch with further details and the steps to become an instructor with our American Heart Association Training Center.

Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
Are you currently CPR certified?
If you do already have a CPR certification, what type of certification is it (BLS, Heartsaver, Red Cross, etc.)?
There are costs associated with becoming a CPR trainer, including equipment, instructor materials, and an instructor class. These costs can vary depending on the maximum number of students you accept for a class, but can be upwards of $1,000. Are you able to make that financial commitment?

There are costs associated with becoming a CPR trainer, including equipment, instructor materials, and an instructor class. These costs can vary depending on the maximum number of students you accept for a class, but can be upwards of $1,000. Are you able to make that financial commitment? Yes No Maybe
Do you plan to offer classes on your own, or would you like to be a trainer here at WDT?

Do you plan to offer classes on your own, or would you like to be a trainer here at WDT? On my own At WDT Both on my own and at WDT Other Other