Home»Continuing Education & Workforce Development»Onsite Training Request Form

Onsite Training Request Form

To receive an onsite course proposal, fill out the form below and our American Heart Association Training Center Coordinator will be in touch with you shortly. If you have questions or concerns that cannot be addressed through this form, please call Cynthia Henney at 541-245-7504.

First Name *

Last Name *

Organization *

Email *

Address *

City *

State *

Zip Code *

Phone Number *

How did you find us? *

Preferred method of contact *

Telephone

Choose your training choice: *

BLS Provider-5 hour class

BLS Provider Recertification-3.5 hour class

Heartsaver First Aid/CPR/AED-5 hour class

Heartsaver CPR/AED-4 hour class

Heartsaver First Aid-3 hours

Expected number of participants *

6-9

10-18

19-27

Preferred time for training *

Morning

Afternoon

Evening

Preferred dates for training *

Any additional comments

Request Information | Contact Us | Maps | Employment | Giving | Ask A Question | Report a Disability Related Barrier | 541-956-7500
©2021 Rogue Community College. Privacy.
Rogue Community College does not discriminate in any programs, activities, or employment practices on the basis of race, color, religion, ethnicity, use of native language, national origin, sex, sexual orientation, gender identity, marital status, veteran status, disability, age, pregnancy, or any other status protected under applicable federal, state, or local laws. For further policy information and for a full list of regulatory specific contact persons visit the following webpage: www.roguecc.edu/nondiscrimination.

Student Essentials

Resources

Business/Community

Main menu

Error message

Onsite Training Request Form

Continuing Education & Workforce Development