Instructor Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

I understand that I will be employed as an independent contractor with Pet Emergency Education and compensated $20 per person in the classes I teach. I understand that I AM NOT allowed to go teach classes on my own and that the company manages all of the classes and financial aspects directly. *

I agree

*See instructor contract for complete program requirements.

Provide a brief description of why you would like to be a pet CPR instructor *

Welcome and orientation phone calls are conducted for new instructors Monday through Friday sometime between 10am-5pm PST . If you are not available during this time please list the best time you are available.

Please list your emergency work and/or teaching experience *

If you are interested in teaching other classes with us, check off which ones

EquiAid Emergency First Aid for Horses
PetCPR+ Advanced for Vet Professionals (vets and vet techs only)
Wilderness First Aid for Dogs

I understand that I am required to purchase an instructor kit which contains all of my animal models and teaching supplies. The cost for this kit $450 and must be purchased at the end of the training.

I Agree

How did you hear about us? *

If referral please list name of person referring you

I verify that I have read the Instructor CONTRACT AGREEMENT, Policies and Guidelines and agree to abide by all of the rules and requirements stated in it as long as I am an active instructor with Pet Emergency Education. I understand that by filling out this form I am not guaranteed to become an instructor. *

I Agree

Phone

844

Helping People Help Their Pets

Instructor Application

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