Supporter Application

Details for the specifications can be accessed below.

Supporter Specification

If you meet the criteria as laid out in the information above please complete the form below.

Full Name & Title(Required)

Address(Required)

Phone(Required)

Email(Required)

Job Title

Employer

CV and Cover Letter(Required)

Drop files here or

Accepted file types: doc, pdf, Max. file size: 10 MB.

With reference to the Person Specification as a guide your covering letter should as a minimum include:

Details of relevant experience
Details of relevant qualifications
Registration details
Details of driving licence, if held
Why would you like to volunteer as a responder with North East Immediate Care?
If successful, what could you bring to North East Immediate Care?
Which area of the North East are you based and approximately how much time could you commit?
Any other supporting information?

Do you have a current DBS Certificate?(Required)

Yes

DBS Certificate Upload(Required)

Accepted file types: doc, pdf, jpg, png, Max. file size: 512 MB.

Registered Healthcare Information

Referee 1 Name(Required)

Referee 1 Position(Required)

Referee 1 Relationship(Required)

Referee Address 1(Required)

Referee 1 Phone(Required)

Referee 1 Email(Required)

Referee 2 Name(Required)

Referee 2 Position(Required)

Referee 2 Relationship(Required)

Referee 2 Address(Required)

Referee 2 Phone(Required)

Referee 2 Email(Required)

Name(Required)

Date(Required)