Student Roster - CAOHC Course
(for Course Directors only)

A listing of students attending a CAOHC approved 20-hour certification course OR 8-hour recertification course.

Course Directors: Please submit this form to CAOHC within 24 hours of course start time. Have OHC candidates include their preferred mailing and email address. You may contact the CAOHC office at (414) 276-5338 or email us at administrativesupport@caohc.org with any issues, concerns or updates.

CAOHC Course Director:*

CD#:*

Dates of Course (mm/dd/yy):*

Course Type

20 hr course

8 hr course

combined

(if combined is checked, please include in parentheses after each student's name whether the course is for certification or recertification)

Course Location

City:*

State:*

Course Director E-mail:*

Course Roster Details

If the student roster already exists in electronic format, you may upload it using the field below. The file must contain the following information for each student:

Name
Address
City
State
ZIP code
Company
If a combined course: certification or recertification

Upload Course Roster File:

Alternatively, please fill out the student fields below.

Student 1

Name:

Address:

City:

State:

Zip:

Company:

Student 2

Name:

Address:

City:

State:

Zip:

Company:

Student 3

Name:

Address:

City:

State:

Zip:

Company:

Student 4

Name:

Address:

City:

State:

Zip:

Company:

Student 5

Name:

Address:

City:

State:

Zip:

Company:

Student 6

Name:

Address:

City:

State:

Zip:

Company:

Student 7

Name:

Address:

City:

State:

Zip:

Company:

Student 8

Name:

Address:

City:

State:

Zip:

Company:

Student 9

Name:

Address:

City:

State:

Zip:

Company:

Student 10

Name:

Address:

City:

State:

Zip:

Company:

Student 11

Name:

Address:

City:

State:

Zip:

Company:

Student 12

Name:

Address:

City:

State:

Zip:

Company:

Student 13

Name:

Address:

City:

State:

Zip:

Company:

Student 14

Name:

Address:

City:

State:

Zip:

Company:

Student 15

Name:

Address:

City:

State:

Zip:

Company:

Student 16

Name:

Address:

City:

State:

Zip:

Company:

Student 17

Name:

Address:

City:

State:

Zip:

Company:

Student 18

Name:

Address:

City:

State:

Zip:

Company:

Student 19

Name:

Address:

City:

State:

Zip:

Company:

Student 20

Name:

Address:

City:

State:

Zip:

Company:

* indicates required field

Student Roster - CAOHC Course (for Course Directors only)

Course Type

Course Location

Course Roster Details

Student 1

Student 2

Student 3

Student 4

Student 5

Student 6

Student 7

Student 8

Student 9

Student 10

Student 11

Student 12

Student 13

Student 14

Student 15

Student 16

Student 17

Student 18

Student 19

Student 20

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Student Roster - CAOHC Course
(for Course Directors only)