Medicall Ambulance Ltd Application Form

1
Please select the location you are applying for.* This field is required.Select from dropdown options
Please Select
Please Select
Dublin
Letterkenny
Cavan
Galway
Tullamore
Kilkenny
Cork
Limerick
Kerry
Waterford
2
What is your skill level?* This field is required.Emergency First Responder (EFR) Emergency Medical Technician (EMT) Paramedic Advanced Paramedic RGN Dispatch Control Centre
Please Select
Please Select
Emergency First Responder (EFR)
Emergency Medical Technician (EMT)
Paramedic
Advanced Paramedic
RGN
Dispatch Control Centre
Select 1 option
3
PHECC Pin Number/NMBI* This field is required.Emergency First Responder (PHECC Pin Enter (0000)
Enter Pin Here
4
Driving Licence category:* This field is required.
Please Select
Currently do not hold a license
Category (B) Provisional License
Category (B) Full License (You Must be 21+ to be eligible to be on our driving panel this does not prevent you from applying as we also hire non drivers)
Category (C1)
5
Additional Category's held* This field is required.
6
Full Name* This field is required.
First Name
Middle Name
Last Name
7
Address* This field is required.
Street Address
Street Address Line 2
County
County
Eircode
Ireland
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Contact Phone Number * This field is required.
9
E-mail* This field is required.
example@example.com
10
Do you have a right to work in Ireland* This field is required.
Yes
No
11
Position Applying For* This field is required.Dispatch Control Operator
Please Select
Please Select
Full Time Contract (Min 40 Hours)
Part-time - Contract (20+)
Relief Contract
Event Medic
Site Medic
12
Date You Can Start* This field is required.
Date
Day
Month
Year
13
Have You Worked With Medicall Ambulance Ltd Previously?* This field is required.
Yes
No
14
Have You Applied to Medicall Ambulance Ltd in the last 6 months?* This field is required.
Yes
No
15
List Skills relevant to the role you are applying for.* This field is required.
16
Qualifications relevant to the role you are applying for.* This field is required.
17
Current Employer* This field is required.
Name of Current Employer or NONE if not Employed
18
Position* This field is required.
19
Reason for Leaving?* This field is required.
20
Start Date* This field is required.
Date
Day
Month
Year
21
May We Contact?* This field is required.
Yes
No
22
Phone* This field is required.
23
Previous Employer* This field is required.
Name of Previous Employer
24
Position* This field is required.
25
Reason for Leaving?* This field is required.
26
Start Date* This field is required.
Date
Day
Month
Year
27
End Date* This field is required.
Date
Day
Month
Year
28
May We Contact?* This field is required.
Yes
No
29
Phone* This field is required.
30
Reference 1* This field is required.
Name of Reference
31
Relationship* This field is required.
32
Years Acquainted* This field is required.
33
Phone* This field is required.
34
Email* This field is required.
35
Reference 2* This field is required.
Name of Reference
36
Relationship* This field is required.
37
Years Acquainted* This field is required.
38
Phone* This field is required.
39
Email* This field is required.
40
Your Trusted PartnerOne Great Team
41
Terms and Conditions* This field is required.Applicant Certification and Agreement By clicking the "Submit" button below, I certify that all information provided in this application is true, accurate, and complete. I understand that any misrepresentation, omission, or falsification of information may disqualify me from consideration for employment or, if discovered after employment, may result in immediate termination. I understand and agree that if I am employed, my employment will be at-will, meaning that either I or the Company may terminate the employment relationship at any time, with or without cause or notice. I further agree to abide by all Company policies, rules, and regulations, as they may be amended from time to time. I also understand and agree that the terms and conditions of my employment, including but not limited to compensation, benefits, and job responsibilities, may be modified by the Company at any time, with or without cause or notice.
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