U.S. Application

TO APPLY:

Review the AHA Website
Complete all items on this application
Application will not send with out attaching resume and cover letter.
If accepted into the program there is an enrollment fee of $300.

After AHA receives the application and attached documents, the applicants will be notified of the results within 3 to 5 business by e-mail.

1. BIOGRAPHICAL INFORMATION
Surname (family name):
First Name:
Middle Name:
Date of Birth:

2. How did you hear about us?

Resort Referral
University
Internet
Other

3. Address where documents should be sent (NO PO BOXES)
Street:
City:
State:
Zip Code:
Phone:
Mobile Phone:
Email (no hotmail accounts):

4. Post Secondary Educational Experience:
Education:	None 4-year University 2 year vocational or trade school
Course of Study:
Did you Graduate?	Yes No
If yes, when:
Anticipated Graduation Date:

Name of Institution:
Advisor:
Advisor's Email Address:

5. Work Related Experience:
Employer:
Start Date:	Year:
End Date:	Year:
Position:
City:
Country:

Employer:
Start Date:	Year:
End Date:	Year:
Position:
City:
Country:

6. Criminal Background:
Have you ever been convicted of a crime? If yes, please explain below:

8. Position Information:
Are you an AHA graduate?	No Yes
Position Desired:
Month Available:
Duration of Program:

9. Documents
Photo (optional):
Resume:
Cover Letter:
Requirements: Photos must be saved as JPEG (".jpg/.jpeg") or GIF (".gif") format and less than 3MB. If your photo exceeds 3MB it must be resized before uploading. Try Infranview, a free program to help you resize your photos. Documents must be saved as Microsoft Word (".doc"), Portable Document Format (".pdf"), Plain Text (".txt") or Rich Text (".rtf") format and less than 3MB.

All trainees in the program must be covered by accident and health insurance for their entire length of training in the United States.

By checking this box, I hereby certify that the information here is true and accurate to the best of my knowledge.
For all intents and purposes, this is the electronic equivalent of your signature.

7. Health Background:
Please check all conditions that you have or previously had
	Allergy (if serious)	Asthma
	Cancer/Tumors	Chicken Pox
	Convulsive Disorder	Diabetes
	Dyslexia	Eating Disorder
	Eczema	Hepatitis
	Measles	Migraine Headaches
	Mumps	Physical Handicap
	Psychological Disorder	Rheumatic Fever
	Rubella	Scarlet Fever
	Substance Abuse	Thyroid Disease
	Ulcer	Urological Problems
	Whooping Cough