Mercy AHA Training Center Roster - mchs 2025

1. Click ‘Get Form’ to open the Mercy AHA Training Center Roster in the editor.
2. Begin by entering your First, Middle Initial, and Last Name in the designated field. Ensure that your name is printed clearly.
3. Circle your discipline from the options provided, such as Heartsaver CPR AED in Schools or Adult CPR AED. This helps identify your training focus.
4. Fill in your Mailing Address or Hospital Department along with City, State, and Zip code to ensure proper documentation.
5. Record the Date(s), Start Time, End Time, Total Attended, and Total Completed in their respective fields for accurate attendance tracking.
6. Indicate whether cards were issued at class or need to be mailed by checking the appropriate box and providing any necessary details.
7. Complete the sections for Remediated Skills and Provider Courses by circling relevant disciplines and entering scores where applicable.
8. Finally, have the Lead Instructor sign and print their name along with their phone number to verify the accuracy of the information provided.

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