CPR Training Request Form for Student Groups, Faculty, and Staff

January 08, 2026

This form is for student groups, as well as currently employed faculty and staff at Columbia University (Morningside, Manhattanville, and CUIMC campuses, as well as Teachers College, Union Theological, Jewish Theological, and Barnard) who wish to request a CPR Training from Columbia University Emergency Medical Service (CUEMS).

Note that a cost is associated with requesting a CPR Training.

I am requesting on behalf of

Note: All Morningside/Manhattanville students are eligible to attend the open sessions offered by CUEMS at no cost. Please visit the CPR Training Program event page for a list of upcoming events.

If for a group, how many expected?

Note that the organizer will be responsible for registration and confirmation of attendees

First

Last

Must use Columbia address.

Phone Number

Group, School, Department, or Division at Columbia

Job or Position Title

What building do you primarily work out of?

This will help the training team identify if there is a Public Access Defibrillation (PAD) in your building.

Location of training

Space must be large enough to accommodate maximum of 12 people and have AV capability

Please provide at least three options for preferred date and time for the training. Our team will do our best to accommodate your preferences.

Option 1

Option 2

Option 3

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CPR Training Request Form for Student Groups, Faculty, and Staff

Phone

Contact Us

Internal Use Only