Adult CPR/AED Training Request Form

      Adult CPR/AED Training Request Form

      (UW-Whitewater Use Only)

      Name:
      Department:
      Office Phone:
      E-mail:
      1. Please choose a course:
        Initial Course
        Refresher Course
      2. Preferred time:
        Morning Session
        Afternoon Session
      3. Comments:

      If sending a hard copy is preferred, please print the form, complete the information, and send it via campus mail to:
      University Police Services, Goodhue Hall.

      Once the form has been received, you will be added to a waiting list. When enough employees (minimum of 4) have expressed interest in taking a course, you will be contacted via email with further course information.

      Location

      Office of Administrative Affairs 
      330 Hyer Hall
      800 West Main Street
      Whitewater, WI 53190
      Phone:  262-472-1292

      54.205.254.108
      http://www.uww.edu/