CPR Class Registration for Sunday, November 22, 2020 9:30 AM - 2:00 PM
Classes are limited: please only sign up if you are in need of a CPR certification.
Please type your full first name. This will be used on the certification card.
Please type your full last name. This will be used on the certification card.
Please enter a husky or personal e-mail address. This e-mail will be used to contact you about the CPR class and receiving CPR cards after the class.
Please provide a phone number that may be used to contact you.
What is your major?
What year are you?
Have you ever taken a CPR class before?
Ex: 123 Sesame Street, Apt. 1
City, State & Zip Code
Ex. Boston, MA 02115
What is your reason for taking this CPR class?
Please choose one that best fits you
Nursing, Pharmacy, PA, or PT student
Going on a co-op that requires a CPR certification
Working professional in career that requires CPR certification
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This form was created inside of Northeastern University.