Instructor Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

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

Please list your animal work and/or teaching experience *

List the best days and times that you would be available for an interview. *

Credentialed veterinary technicians are eligivel to also teach our advanced class. Check here if you fit that criteria and would like to teach this additional program.

PetCPR+ Advanced for Vet Professionals (vets and vet techs only)

I understand that if I am hired to be an instructor I will be required to obtain the necessary equipment and supplies in order to teach a class. *

I Agree

Instructors are not required to purchase supplies up front. They may wait until they complete the complimentary training before investing in equipment and supplies. Supplies may be purchased through Pet Emergency Education for the cost of $475 or they may obtain the required supplies on their own and provide Pet Emergency Education with proof of ownership.

How did you hear about us? *

If referral please list name of person referring you

I verify that I have read the instructor program FAQ as well as the 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

Name

844

Helping People Help Their Pets

Instructor Application

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