Skip to content

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.
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.)
Date:
  • 1900
  • 1901
  • 1902
  • 1903
  • 1904
  • 1905
  • 1906
  • 1907
  • 1908
  • 1909
  • 1910
  • 1911
  • 1912
  • 1913
  • 1914
  • 1915
  • 1916
SuSunday
MoMonday
TuTuesday
WeWednesday
ThThursday
FrFriday
SaSaturday
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.)