Registration with ARC as Current Instructor
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Registration with ARC as Current Instructor
Current Instructors with RC(UK), NZRC and ERC, APLS, EMST request to register with the ARC
RC(UK) instructors to undertake Recertification Instructor assessment on first course
ERC ALS/EMAC/ACME Instructors must complete 2 x IC courses at different centres and may be allocated named mentors/course centres prior to registration as a full instructor
NZRC Instructors to undertake CORE Level 6/7 up to two IC placements prior to registering as a full instructor
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Last
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Republic of the Congo
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United Republic of Tanzania
Togo
Tunisia
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Zambia
Zimbabwe
Country / Region
Contact/Mobile Phone
*
Email
*
Preferred method of contact
Confirm
AHPRA registration
Medicine
Nursing
Midwifery
Paramedicine
Not currently registered
Never registered
Other
AHPRA Registration Number
Professional Registration Number from country currently identified as an Instructor/Instructor in development
Overseas Professional Registration Details
Resuscitation Councils often identify individuals from their professional registration number.
If claiming overseas instructor status please use that nations registration details
Registration Authority
GMC UK
NMC UK
Medical Council of NZ
Nursing Council of NZ
Midwifery Council of NZ
Not/Never Registered
Other
Professional Registration Number
Professional Registration Number from country currently identified as an Instructor/Instructor in development
Professional Role
Profession/Role
Position Title
*
Speciality
*
Main Employer
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Instructor Details
Please indicate the course you are currently an instructor for
Date First Registered as Full Instructor
DD
/
MM
/
YYYY
Instructor Type
*
ALS - RC(UK)
ILS - RC(UK)
GIC - RCUK
ATLS - RCUK
ALS - ERC
ILS - ERC
EMST (RACS)
APLS- Australia
APLS -UK
EMAC (ANZCA)
ACME (ACEM)
NZRC ALS
NZRC Core level 7
NZRC Core level 6
RC(UK) and NZRC CORE level 6/7 Instructors are required to undertake supervised instruction prior to registration as a full instructor with the ARC.
ERC ALS/EMAC/ACME Instructors must complete 2 x IC courses at different centres and may be allocated named mentors/course centres
ACLS (AHA) and ACCCN Instructors are not recognised.
Most Recent Course attended as faculty/Instructor
Date (last day)
DD
/
MM
/
YYYY
Instructor card date of issue:
DD
/
MM
/
YYYY
Instructor recertification due:
(often 4 years from last certification)
DD
/
MM
/
YYYY
Instructor level
*
Full Instructor
Instructor Candidate
Nominated as RC(UK) Instructor Potential
Other
Instructor Potentials nominated on RC(UK) Courses will be required to undertake an Instructor Course
Also registered as:
*
RC(UK) Course Director
RC(UK) Medical Lead
RC(UK) Course Director & Medical Lead
None of above
Registered as a GIC Instructor
Yes
No
Most Recent Course
Recent Instruction in ALS1 or ALS2
Course Centre
Attended Course as
Faculty - Full Instructor
Faculty - Instructor Candidate
Candidate - Provider Course where identified as IP
Course Type
ARC ALS1
ARC ALS2
2 day ALS - RC(UK)
ILS - RC(UK)
Recertification ALS - RC(UK)
eALS - RC(UK)
ALS - ERC
ILS - ERC
NZRC CORE Level 6/7 ALS
Other
ACLS and ACCCN Courses are not recognised by the ARC for Instructor Development.
Date (second day if 2 day ALS)
DD
/
MM
/
YYYY
Please upload a Scanned/Photograph copy of your current Instructor Card (Name, Number and Date side)
ARC Published Regulations available from:
http://resus.org.au/
Should registration be successful - I agree to abide by the ARC Course Regulations
*
Yes I agree to abide by the regulations
RC(UK) instructors to undertake Recertification Instructor assessment on first course
ERC Instructors to undertake 2x IC placements prior to registration
NZRC Instructors to undertake the course as a candidate and then IC placements prior to registering
