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Instructor Transfer Screening Form

To be completed by the instructor candidate.

First Name

Last Name

Email Address

Phone Number

Street Address

City

Zip Code

State

What is your current occupation?

What type of instructor are you?

BLS

Heartsaver

How long have you been with your current TC?

Why do you want to transfer from your current TC?

When does your current instructor card expire?

How did you hear about Therapeutic Professionals?

Why are you choosing Therapeutic Professionals as your new TC?

How often do you plan on teaching courses?

What courses do you plan on teaching?

Will your courses be open to the public?

What location do you plan on teaching from?

May we contact your current TCC?

Yes

Do you have all supplies and equipment needed?

Yes

By checking this box, you acknowledge that you have answered each question completely and truthfully.

Almost Finished…

Please Select A Day and Time For A Phone Interview

Selected: Please select a day and time you will be available for an online interview.