* Required field
* First Name:
* Last Name:
* Last four digits of SS#:
* Address 1:
Address 2:
* City:
* State:	Select One AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
* Zip:
* Email:
* Retype email:
* Day Phone:
* Evening Phone:
* Employer:
	UMDNJ EMPLOYEES ONLY
* Manager:
* Unit (i.e. H-Green):
* Is the desired course is a job requirement? Yes No
ER(ADULT)
ER(PEDS)
EMS
CCU
ICU
(Other)
MD
Nurse
MICP
Staff/Other
To register for a BLS course, place a check in the appropriate box and select a date using the adjacent drop down menu.
Heartsaver for Adults No Courses Currently Available Heartsaver for Pediatrics No Courses Currently Available Heartsaver for Adults and Pediatrics Select a Course Date 12/23/09 day 12/23/09 evening 1/20/10 day 1/20/10 evening 2/17/10 day 2/17/10 evening 3/17/10 day 3/17/10 evening 4/21/10 day 4/21/10 evening Healthcare Provider Select a Course Date 11/16/09 9am to 1pm 11/24/09 6pm to 10pm 11/28/09 9am to 1pm 11/30/09 9am to 1pm 12/02/09 9am to 1 pm 12/07/09 9am to 1pm 12/10/09 6pm to 10pm 12/12/09 9am to 1pm 12/15/09 6pm to 10pm 12/18/09 9am to 1pm 12/21/09 9am to 1pm 1/4/10 9am to 1pm 1/6/10 9am to 1pm 1/15/10 9am to 1pm 1/18/10 9am to 1pm 1/25/10 9am to 1pm 2/1/10 9am to 1pm 2/3/10 9am to 1pm 2/12/10 9am to 1pm 2/15/10 9am to 1pm 2/22/10 9am to 1pm 3/1/10 9am to 1pm 3/3/10 9am to 1pm 3/12/10 9am to 1pm 3/15/10 9am to 1pm 3/22/10 9am to 1pm 4/5/10 9am to 1pm 4/7/10 9am to 1pm 4/15/10 9am to 1pm 4/19/10 9am to 1pm 4/26/10 9am to 1pm 1/12/10 6pm to 10pm 1/21/10 6pm to 10pm 2/9/10 6pm to 10pm 2/18/10 6pm to 10pm 3/9/10 6pm to 10pm 3/18/10 6pm to 10pm 3/30/10 6pm to 10pm 4/13/10 6pm to 10pm 4/22/10 6pm to 10pm Healthcare Provider (Community) Select a Course Date 1/9/10 9am to 1pm 1/20/10 9am to 1pm 2/6/10 9am to 1pm 2/20/10 9am to 1pm 3/6/10 9am to 1pm 3/20/10 9am to 1pm 4/10/10 9am to 1pm 4/24/10 9am to 1pm Healthcare Provider Recertification Select a Course Date 11/25/09 9am to 1pm 12/30/09 9am to 1pm 1/27/10 9am to 1pm 2/24/10 9am to 1pm 3/24/10 9am to 1pm 4/28/10 9am to 1pm CPR for Family & Friends No Courses Available BLS Instructor Select a Course Date 12/9/09 8 am to 5 pm 1/12/10 6:30 pm to 8:30 pm 1/16/10 8am to 4pm
To register for a ACLS course, place a check in the appropriate box and select a date using the adjacent drop down menu. Two-Day Course Select a Course Date 12/1/09 & 12/2/09 12/7/09 & 12/8/09 Two-Day Course (weekends) Select a Course Date 12/5/09 & 12/6/09 One-Day Course (Recertification Only) Select a Course Date 12/9/09 8 am - 2 pm Instructor Course Select a Course date Evening Provider Course Select a Course date 12/07/09 & 12/8/09 Heartcode Computer Recertification [Call (973) 972-4373 or email uhctc@umdnj.edu] Heartcode Anywhere Skills Testing [Call (973) 972-4373 or email uhctc@umdnj.edu]
To register for a PALS course, place a check in the appropriate box and select a date using the adjacent drop down menu.
Two-Day Course Select a Course Date 10/29/09 & 10/30/09 11/09/09 & 11/10/09 12/10/09 & 12/11/09 One-Day Course (Recertification Only) Select a Course Date 8/19/09 9/16/09 10/16/09 11/11/09 12/14/09 Evening Provider Course (new) Select a Course Date 9/14/09 & 9/15/09 10/29/09 & 10/30/09 12/10/09 & 12/11/09 Instructor Course Select a Course Date 10/14/09 Instructor