CPR Instructor Contractor Application

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Preferred Method of Contact:

Phone

Text

Are you currently certified as a CPR Instructor?

Yes

Training Organization(s): (Check all that apply)

American Heart Association (AHA)

American Red Cross (ARC)

HSI

Other

Instructor Certification Expiration Date:

Instructor ID Number:

Please attach copies of all current instructor certifications.

Upload your file

Choose a file or drag and drop one here.

How long have you been an instructor?

Less than 1 year

1-3 years

4-7 years

8+ years

Approximately how many classes have you taught?

0-10

11-50

51-100

100+

Which courses are you qualified to teach?

Which days are you available to teach?

Preferred Teaching Times:

Morning

Afternoon

Evening

How far are you willing to travel?

Up to 25 miles

Up to 50 miles

Up to 100 miles

Statewide

Cities/Areas You Can Serve:

Do you currently own training equipment?

Yes

If yes, please check all that apply:

Please indicate the quantity of equipment you currently own:

How many students can you teach at one time using your own equipment while remaining compliant with training organization guidelines?

Have you ever had an instructor certification suspended, revoked, or placed on probation?

Yes

If yes, please explain:

How much notice do you typically need to accept a class assignment?

Have you previously worked as an independent contractor instructor?

Yes

Are you comfortable working as an independent contractor and being compensated on a per-class or per-assignment basis?

Yes

Would Like More Information

Are you comfortable with: (check all that apply)

Are you willing to assist with large group trainings alongside other AIM instructors?

Yes

Have you ever taught for businesses, schools, hospitals, or government agencies?

Yes

If yes, please describe:

Have you ever been convicted of a felony? (Answering “Yes” does not automatically disqualify an applicant.)

Yes

If yes, please explain:

I understand that I am applying as an Independent Contractor and not as an employee.

I understand that I am responsible for maintaining my instructor certifications.

I understand that AIM Training Solutions expects instructors to maintain professionalism and provide excellent customer service.

I understand that class documentation must be submitted accurately and on time.

I understand that accepting a class assignment is a commitment and last-minute cancellations may impact future opportunities.

I understand that AIM Training Solutions may require monitoring, coaching, or additional training to ensure quality standards.

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that providing false information may result in the denial of this application or termination of any future contractor relationship.

Signature

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Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Preferred Method of Contact:

Phone

Text

Are you currently certified as a CPR Instructor?

Yes

Training Organization(s): (Check all that apply)

American Heart Association (AHA)

American Red Cross (ARC)

HSI

Other

Instructor Certification Expiration Date:

Instructor ID Number:

Please attach copies of all current instructor certifications.

Upload your file

Choose a file or drag and drop one here.

How long have you been an instructor?

Less than 1 year

1-3 years

4-7 years

8+ years

Approximately how many classes have you taught?

0-10

11-50

51-100

100+

Which courses are you qualified to teach?

Which days are you available to teach?

Preferred Teaching Times:

Morning

Afternoon

Evening

How far are you willing to travel?

Up to 25 miles

Up to 50 miles

Up to 100 miles

Statewide

Cities/Areas You Can Serve:

Do you currently own training equipment?

Yes

If yes, please check all that apply:

Please indicate the quantity of equipment you currently own:

How many students can you teach at one time using your own equipment while remaining compliant with training organization guidelines?

Have you ever had an instructor certification suspended, revoked, or placed on probation?

Yes

If yes, please explain:

How much notice do you typically need to accept a class assignment?

Have you previously worked as an independent contractor instructor?

Yes

Are you comfortable working as an independent contractor and being compensated on a per-class or per-assignment basis?

Yes

Would Like More Information

Are you comfortable with: (check all that apply)

Are you willing to assist with large group trainings alongside other AIM instructors?

Yes

Have you ever taught for businesses, schools, hospitals, or government agencies?

Yes

If yes, please describe:

Have you ever been convicted of a felony? (Answering “Yes” does not automatically disqualify an applicant.)

Yes

If yes, please explain:

I understand that I am applying as an Independent Contractor and not as an employee.

I understand that I am responsible for maintaining my instructor certifications.

I understand that AIM Training Solutions expects instructors to maintain professionalism and provide excellent customer service.

I understand that class documentation must be submitted accurately and on time.

I understand that accepting a class assignment is a commitment and last-minute cancellations may impact future opportunities.

I understand that AIM Training Solutions may require monitoring, coaching, or additional training to ensure quality standards.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.