PASA Schools Certification Renewal Form

Existing PASA Certified Schools Use This Form for Certification Renewal

Since you have already presented PASA your school's information, we are making it easy for you provide us with the information necesssary to recertify.  Other than your instructor list, if the information that you provided to PASA for your original certification has remained the same, please indicate beside each item.  If it has changed, you will have the opportunity to provide us with the updated information.  
Please indicate if the following items have changed:
Have You Had A School Name, Address, Phone Number, Website or Email Address Change? *
Has there been a change to your business structure (Corporation, LLC, Sole Proprietor, etc) *
Please Review The Operating Plan That You Last Supplied PASA With. Have You Changed Your Operating Plan Since You Submitted Your Most Recent Version To PASA? *

Please Review The Emergency Action Plan That You Last Supplied PASA With. Have You Changed Your Emergency Action Plan Since You Submitted Your Most Recent Version To PASA? *

Please Review The Risk Management Plans That You Last Supplied PASA With. Have You Changed Your Risk Management Plans Since You Submitted Your Most Recent Versions To PASA? *

Please Review The Training Facilities List That You Last Supplied PASA With. Should There Be Any Changes To Your Training Facilities List Since You Submitted Your Most Recent Version To PASA? *


Please Review The Officers/Directors/Managers List That You Last Supplied PASA With. Should There Be Any Changes To Your Officers/Directors/Managers List Since You Submitted Your Most Recent Version To PASA? *


Please Review The Staff List (non-Instructors) That You Last Supplied PASA With. Should There Be Any Changes To Your Staff List Since You Submitted Your Most Recent Version To PASA? *


Please Review The Syllabus That You Supplied To PASA To Evaluate Your School. Should There Be Any Changes To Your Most Recent Version Of The Syllabus That You Submitted To PASA? *


Please Review The Equipment List That You Last Supplied PASA With. Should There Be Any Changes To Your Equipment List Since You Submitted Your Most Recent Version To PASA? *












If you have more than 3 Instructors on your Instructor List, please email the following information for each instructor on your list to pasaschools@gmail.com
 
Instructor USHPA Info
Instrcutor First Aid Info
Any additional Info you wish to send

By clicking Submit below, I agree to the following terms and conditions:
 
I certify that all the information I am supplying in this form is true and accurate and I understand that falsifying any information or representation could lead to the loss of PASA certification for my school.
I agree that PASA can share the information supplied with the RRRG for any purpose it deems necessary including, but not limited to; expediting the processing of certification approvals or facilitating any insurance investigation.