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
Download a Blank Instructor List Form
PASA Certified School Name
PASA SCHOOL NUMBER
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?
Instructor's First Name
Instructor's Last Name
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
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.