Confirmation of attendance as an observer - NLS

Candidate details

NZ Resuscitation Council NLS Instructor candidates are required to attend a NLS provider course as an observer. As the confirming Course Director, we ask that you complete the following details to confirm the candidate's attendance.

Question Title

1. I am: (Required.)

Name (Course Director) :

Provider Centre:

My email address is:

Question Title

2. I am confirming that: (Required.)

Candidate name:

Question Title

3. The candidate observed their NLS provider course on:
(this date will be validated against course participant sheets) (Required.)

Date:

Date

Question Title

4. By ticking the box below and submitting this form I confirm that:

the information provided is accurate

the candidate has attended as an observer

(Required.)

I confirm

Question Title

* 1. I am: (Required.)

Question Title

* 2. I am confirming that: (Required.)

Question Title

* 3. The candidate observed their NLS provider course on:(this date will be validated against course participant sheets) (Required.)

Question Title

* 4. By ticking the box below and submitting this form I confirm that: the information provided is accurate the candidate has attended as an observer (Required.)

1. I am: (Required.)

2. I am confirming that: (Required.)

3. The candidate observed their NLS provider course on:
(this date will be validated against course participant sheets) (Required.)

4. By ticking the box below and submitting this form I confirm that:

the information provided is accurate

the candidate has attended as an observer

(Required.)