Course Evaluation and

Bulk Card Ordering Agreements

 

Course Evaluation Agreement

As stated in the American Heart Association’s

Emergency Cardiovascular Care Program: Program Administration Manual:

 

A course evaluation form must be used in each ECC course to solicit feedback from students on course content and instructors.

 

Instructors may use the Course Evaluation Form provided by the Training Center or prepare its own form containing the same information. Each form must indicate a mechanism for the student to send the form to the Regional ECC Office.

 

All records must be kept for a period of three years.

 

If no problems are identified on the course evaluations, a summary of the evaluations may be kept. In the event potential problems are identified, original evaluations must be kept.

 

 

Therefore… the following Health Counseling Training Center policy regarding course evaluations has been implemented:

 

Instructors and/or Training Sites affiliated with Health Counseling Training Center will use the Course Evaluation Form provided, or prepare its own form containing the same information. Upon student completion, if no problems are identified the instructor can either keep the original evaluations or a summary of the evaluations. In the event potential problems are identified, the Instructor/Training Site must retain original evaluations and a copy should be forwarded to Health Counseling along with the Course Roster. All original evaluations and/or summaries must be retained by the Instructor/Training Site for a period of three years and must be readily available for review by the Health Counseling Training Center Coordinator if requested. Any problems requiring immediate attention should be accompanied by a phone call to Health Counseling staff to assist in initiating prompt dispute resolution.

 

By signing your name below, you agree to follow the

Health Counseling Training Center policy guideline as described above.

 

 

           ________________________        ____________

                                   Instructor Signature                                              Date

 

 

 

PLEASE TURN OVER AND REVIEW REVERSE SIDE

Bulk Card Ordering Agreement

 

As stated in the American Heart Association’s

Emergency Cardiovascular Care Program: Program Administration Manual:

 

Only Training Center Coordinators are authorized to order AHA course cards directly from the designated AHA distributors.

 

The Training Center Coordinator may, for administrative reasons, delegate the issuance of cards to a Training Site and/or Instructor who have met the requirements with regards to maintaining card security and accountability in the card issuance process. The Training Center, however, remains ultimately responsible for the issuance of the cards in accordance with AHA policies.

 

Therefore… the Health Counseling Training Center policy regarding bulk card ordering has been implemented:

 

Instructors and/or Training Sites affiliated with Health Counseling Training Center who wish to order cards with names and dates blank with intent of issuance on own must follow the following guidelines:

 

Each student who successfully completes an AHA ECC course must be issued the appropriate course card that bears the AHA logo.

 

It is recommended that course cards be stamped, typed, or computer generated to reduce the risk of cards being altered. All AHA cards issued must be complete and legible.

 

The content of the AHA course cards cannot be altered in any way.

 

On front of card:

— Indicate the students name (first name, middle initial, and last name).

— Cross out modules not taught if applicable.

— Indicate the issue date. The date should be indicated as month and four-digit year (01/2001) or two-digit month/day/four-digit year (01/15/2001).

— Indicate the recommended renewal date. The date should be indicated as two years from the issue date (two-digit month and four-digit year only, no exceptions).

 

On back of card:

— Indicate the first and last name of Lead Instructor if not already printed (must be legible).

— The student is to sign name in black or blue ink.

 

If issuing a duplicate card, verify attendance before issuing. The word “Duplicate” must be stamped, typed, or hand-printed in large letters on the front of the replacement card, and all sections of the card must be completed.

 

Any mistakes, or damaged cards as a result of bulk orders and issuance are the sole responsibility of the individual instructor or Training Site. Health Counseling is not liable or responsible for replacements or reimbursements due to damage or mistakes caused by Instructor or Training Site issuance. Please be extremely careful and accurate when issuing your cards.

 

By signing your name below, you agree to follow the Health Counseling Training Center

policy guideline, as described above, for bulk card ordering situations. Only

those requesting the option to issue cards on their own need to sign below.

 

           ________________________           ____________

                                   Instructor Signature                                                  Date

 

 

PLEASE RETURN TO HEALTH COUNSELING TRAINING CENTER