Apply - Great North Air Ambulance Service

Applicant details

Hidden

Position applied for*

Name*

Title Forename(s) Surname

Email address*

Contact telephone number*

Hidden

This is my

Postcode*

ZIP / Postal Code

Address

Street Address Address Line 2 City Country

If applicable, HCPC registration number

How did you hear about this vacancy?*

Other, please specify*

Do you hold a current driving licence?*

Yes
No

Please provide details of any driving endorsements.*

Are there any restrictions on you taking up employment in the UK?*

Yes
No

Please provide details*

History

Education History

Establishment Name	Subject	Grade	Date Achieved

Employment history

Employer name	Position	Rate of pay	Dates of employment	Reason for leaving	Brief description of duties

Please explain any gaps in employment

Personal statement and references

Personal statement*

Please provide a personal statement to support your application. Continue on a separate sheet if necessary.

Please upload a portfolio containing three examples of recent work here:*

Drop files here or

Max. file size: 2 MB.

Please give the name and address of two persons from whom we may obtain work experience references. We will only contact your referees with your knowledge. Referee 1:

Name*

First Last

Position held*

Company*

Company postcode*

ZIP / Postal Code

Company address*

Street Address Address Line 2 City Country

Telephone*

Email address*

Referee 2

Name*

First Last

Position held*

Company*

Company postcode*

ZIP / Postal Code

Company address*

Street Address Address Line 2 City Country

Telephone*

Email address*

Declaration and submit

Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none, please state. (In certain circumstances employment is dependent upon obtaining a satisfactory basic/enhanced disclosure form from the DBS).

Criminal convictions*

I confirm that the above information is complete and correct and that any untrue information will give my employer the right to terminate any employment contract offered.

I agree that should I be successful in this application, I will, if required, apply to the DBS for a basic/enhanced disclosure.
I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the Company, any offer of employment may be withdrawn or my employment terminated.
I understand that my data will be processed in line with the Privacy Policy.

I agree to the above statements*

Yes

Signed*

Date*

Job application

Applicant details

History

Personal statement and references

Declaration and submit