ADD AN INSTRUCTOR TO A CERTIFIED PASA SCHOOL

Please submit one form for each instructor you would like to add to your instructor list.

To successfully fill out this form, you'll need the following items:

•Updated Instructor List

•New Instructor's USHPA credentials

•New Instructor's First Aid and CPR credentials

PLEASE NOTE: You will need a new version of the instructor list. It has been updated. You MUST submit your instructors on the NEW form. Please click the link below to download the new form.

Download a Blank Instructor List Form (.xls version)

Download A Blank Instructor List Form (.pdf version)

PASA Certified School Name *

PASA SCHOOL NUMBER *

Today's Date * +

Name of Person Submitting this Instructor *

School's Contact Email Address *

Is this instructor going to be utilized as a PG or HG instructor - or both? *

Apprentice Instructor

Basic Instructor

Advanced Instructor

Tandem Instructor

Instructor's First Name *

Instructor's Last Name *

USHPA # *

First Aid Expiration Date * +

CPR Expiration Date * +

Date Trained In Your School's EAP * +

Upload First Aid/CPR Info * 🛈

Additional First Aid/CPR Upload

Upload USHPA Credentials * 🛈

New Instructor List * 🛈

Comments

By hitting submit, you indicate you understand the following:

PASA will receive your new instructor submission and will attempt to respond to you within 24 hours. A school is not to use any submitted new instructor until PASA approves the school's updated Instructor List.

READ THIS: All Instructors on your instructor list MUST work FOR YOU. No school can share their PASA certification status with other instructors. You are certified as a school. Anyone you add to your Instructor List MUST work for you. Literally - they must work for you. That means all instruction/tandems are booked through the PASA certified school, all monies are collected by the PASA certified school and the instructor is paid by the PASA certifiied school - thus creating a situation where they will receive either a 1099 or W-2 for the tax year. If you have ANY questions about how this arrangment MUST be done - contact PASA immedietly. Infractions of this policy will most certainly result in revocation of your PASA certification.

By continuing further, you agree that you understand this.