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Tel: 01325 487 263 - Fax: 01325 489 819

PHEMCC Application Form

PHEMCC Application Form

PHEMCC Application Form

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The Prehospital Emergency Medicine Crew Course (PHEMCC) Course runs from Monday 9 Sept, 2019 to Friday 20 Sept, 2019. This course is heavily over subscribed so please give as much information in your application as possible on the application form.

Please note course places are limited and application does not automatically guarantee you a place on the next course. Once your application is received we will contact you as soon as possible with further details.

Please enter a postcode or enter your address directly

Note- hard copies of course material including pre-course reading will be sent here

I am applying for:

PHEMCC - September 9, 2019.

To apply for the optional aviation week, please tick below:

Additional aviation week (+£2,300)

Please give a brief summary of any previous prehospital experience:

Please give a brief summary of any previous anaesthetic/ RSI experience:

We would be grateful if you would supply us with a recent photograph.

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Applications will only be kept until the end of the 2019 courses. If you are unsuccessful you will have to apply for the 2020 courses when they become available in October 2019.

Personal Information Policy

If your application is successful your information will be kept on our system for 10 years for audit purposes. If unsuccessful your application will be deleted from our system at the end of our training year, and you will need to reapply for the next years courses. The GNAAS privacy policy can be found at www.greatnorthairambulance.co.uk/privacy-policy/

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I have read & agree with the terms & conditions listed in the document above

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