Post by Chief100 on Feb 23, 2009 10:34:52 GMT -5
ADVANCED LIFE SUPPORT ASSISTANT COURSE
LOCATION;
Fayetteville Volunteer Fire Department
Community Center
101 W. Main Street
Fayetteville, PA 17222
COURSE DATE AND TIME - Sunday May 17, 2009, 0900-1400
COST - $50.00
COURSE DESCRIPTION - This course is designed to prepare the EMT-Basic to assist the ALS provider with various interventions within their scope of practice. Several hands-on skill stations and a low student to instructor ratio allow for students to feel comfortable learning the skills of IV assistance, advanced airway assistance, and ECG assistance in a low stress educational environment.
CONTINUING EDUCATION - Con-Ed has been applied for
REGISTRATION - Applications have been sent to all training chiefs in the area. If you cannot obtain one, please email course coordinator Ryan Elborne at rjelborne@yahoo.com and one will be emailed to you. Any questions regarding the class can be directed to the Ryan Elborne at 717-729-0905.
ADVANCED LIFE SUPPORT ASSISTANT
APPLICATION FOR ADMISSION;
Instructions
Please type or print in ink. Return completed application to the Pennsylvania Institute of
Applied Health Sciences at the following address:
PIAHS ALS ASSISTANT
PO BOX 423
Waynesboro, PA 17268.
Pre-registration is required and registrations are not confirmed until a form of payment or billing authorization is provided.
Make Check or Money Order Payable to PIAHS, Inc.
This application serves as authorization to bill the sponsor below for the following individual to attend the course listed below.
PERSONAL INFORMATION
Last Name: First Name:
Date of Birth: Social Security #:
Street Address:
City: State: Zip:
Home Phone: Alt. Phone:
Emergency Contact:
Relationship: Contact Phone:
U.S. Citizen: Yes or No
BILLING INFORMATION
Sponsor: Sponsor PO #:
Street Address:
City: State: Zip:
Phone Number:
Request Authorized By: Title:
Authorization Signature:
LOCATION;
Fayetteville Volunteer Fire Department
Community Center
101 W. Main Street
Fayetteville, PA 17222
COURSE DATE AND TIME - Sunday May 17, 2009, 0900-1400
COST - $50.00
COURSE DESCRIPTION - This course is designed to prepare the EMT-Basic to assist the ALS provider with various interventions within their scope of practice. Several hands-on skill stations and a low student to instructor ratio allow for students to feel comfortable learning the skills of IV assistance, advanced airway assistance, and ECG assistance in a low stress educational environment.
CONTINUING EDUCATION - Con-Ed has been applied for
REGISTRATION - Applications have been sent to all training chiefs in the area. If you cannot obtain one, please email course coordinator Ryan Elborne at rjelborne@yahoo.com and one will be emailed to you. Any questions regarding the class can be directed to the Ryan Elborne at 717-729-0905.
ADVANCED LIFE SUPPORT ASSISTANT
APPLICATION FOR ADMISSION;
Instructions
Please type or print in ink. Return completed application to the Pennsylvania Institute of
Applied Health Sciences at the following address:
PIAHS ALS ASSISTANT
PO BOX 423
Waynesboro, PA 17268.
Pre-registration is required and registrations are not confirmed until a form of payment or billing authorization is provided.
Make Check or Money Order Payable to PIAHS, Inc.
This application serves as authorization to bill the sponsor below for the following individual to attend the course listed below.
PERSONAL INFORMATION
Last Name: First Name:
Date of Birth: Social Security #:
Street Address:
City: State: Zip:
Home Phone: Alt. Phone:
Emergency Contact:
Relationship: Contact Phone:
U.S. Citizen: Yes or No
BILLING INFORMATION
Sponsor: Sponsor PO #:
Street Address:
City: State: Zip:
Phone Number:
Request Authorized By: Title:
Authorization Signature: