Roster Form Lead Instructor(Required)Assistant Instructor(Required)Class Date(Required) MM slash DD slash YYYY Class Time(Required) Hours : Minutes AM PM AM/PM Class LocationClass Type Hybrid/Blended (Online Portion MUST be completed before skill check) Classroom (Instructor-led no online portion) How many students were in this class?Adhere to the curriculum guidelines: AHA: Maximum of 9 students ARC: Maximum of 12 students A minimum of 3 students is required! How many miles did you travel one way?Anything over 60 miles will be reimbursed at .40 per mile.Upload Your RosterMax. file size: 64 MB.