Apply

Apply for Partnership

This form is an expression of interest in the BLS Access Initiative. It does not reserve seats and it does not create a partnership. Eligible participating organizations may receive BLS education without course tuition fees during their approved partnership period, subject to eligibility, capacity, and a signed agreement.

Read the application terms and program terms. Both are drafts for legal review.

Organization

Organization name

Hospital or system name

Province or territory

Number of sites

Communities served

Approximate employees

Approximate clinical employees

Approximate annual BLS learners

Current BLS education

Current BLS delivery model

Current education provider

Estimated annual BLS expenditure

Does the organization have internal BLS instructors?

YesNo

Interest in live virtual delivery?

YesNo

Interest in onsite delivery?

YesNo

Primary contact

Name

Position

Telephone

Why is the organization interested?

Challenges delivering BLS education

Additional comments

I am authorized to submit this expression of interest and I consent to be contacted about it. I have read the application terms and the privacy draft.