Instruction Forms
Insurance
- To apply for course insurance complete the associated Course Registration Form
- ACA Adult Waiver & Release of Liability (with membership form) (Spanish)
- ACA Minor Waiver & Release of Liability (with membership form)(Under Age 18 At The Time of Registration)
- ACA Incident/Accident Report Form
Skills Courses
- Skills Course Registration Form ( Word / PDF )
- Skills Course Report Form ( Word / PDF )
- EZ Skills Report Form This function is now available on-line! Simply click the Member Log-In from the homepage, then follow the link at the bottom of the Member Center page to Report Your Courses. Remember, this is only for SKILLS courses NOT-INSURED through the ACA. If there are multiple instructors, each instructor must log-in and report to receive credit for the course(s).
- ACA Participation Cards (can also be ordered from the ACA for $0.25 each - 540.907.4460 x103)
Certification / Assessment Courses
- Certification Course Registration Form ( Word/ PDF )
- Certification Course Report Form ( Word / PDF )
- Mentorship Certification Report Form ( Word/ PDF ) (for details on this certification method, reference the SEIC Policy Manual- Chapter 2.C.1)
- Upgrade Certification Report ( Word / PDF )
- Temporary Certification Cards
- Temporary Assessment / Endorsement Cards
- Instructor Trainer / Course Evaluation
Instructor Maintenance
Instructor Certification Extension Application
Instructor Trainers
Sample Instructor Candidate Evaluation Form ( Word / PDF )
Instructor Candidate Continuation Form ( Word / PDF )
Instructor Trainer Application (Word / PDF)
Instructor Trainer Educator Application / Renewal
