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Donegal Bay CFR Application Form
Donegal Bay CFR team operates in the Ballyshannon, Bundoran, Kinlough, & surrounding areas.
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Email
*
Your email
GDPR & Community First Responders
GDPR & Community First Responders - Please see
https://dbcfr.weebly.com/gdpr1.html
Your Details:
Surname
*
Your answer
First Name
*
Your answer
Address
*
Your answer
Eircode (if known)
Your answer
e-mail
*
Your answer
Mobile Number
*
Your answer
Previous Experience / Training (if applicable)
Please indicate your level of current training
*
Not trained but would like to train
Advanced Paramedic (NAS)
Paramedic (NAS)
EMT (NAS)
CFR (Advanced)
CFR (Community)
Occ. First Aider / FAR
Emergency First Responder
EFR (Fire Brigade)
EMT (Voluntary)
Casualty Care (RNLI)
Current PHECC Number (if applicable)
If not applicable, please skip.
Your answer
Expiry of your PHECC Number (if applicable)
Your answer
Garda Clearance
📌Garda clearance checks are routine for employees of the health services. People acting on behalf of the National Ambulance Service will be in contact with vulnerable or at-risk people.
📌The Gardai will identify people with convictions for relevant offences only. NOTE: Your completed Garda vetting for will be sent to Donegal Volunteer Centre, the organisation that coordinates Garda vetting for Donegal Bay Community First Responder Scheme.
📌Application to vetting form is available on our website at www.weebly
Are you willing to undergo a Garda clearance check?
*
Yes
No
Required
Insurance & Liability
Ref: Section 7.5 (VEHICLES) of "NASCG007 Community First Responder Scheme Policy Version 9"
Where First Responders provide their own transport either using private cars, each Responder must ensure that they have adequate insurance for the vehicle being used. Each First Responder must ensure that they have informed their insurer of their First Responder activity.
Ref: Section 8.0 (LIABILITY) of "NASCG007 Community First Responder Scheme Policy Version 9"
First Responders must have sufficient car insurance for the purposes of the Scheme. Each member is advised to ensure that by operating as a Community First Responder you do not invalidate any personal insuring arrangements that you may have, include life or critical illness cover.
Do you hold a full driving licence and have use of a car for your “On Call” periods?
*
Responders will need to be able to drive to the scene of an incident once activated by the ambulance service. We will need to see your driving license and proof of insurance.
Yes
No
Required
Is your vehicle currently insured.
*
Yes
No
Required
Are you willing to participate in Donegal Bay Community First Responders under the National Ambulance Service scheme's policies and procedures?
*
During training you will receive and review the policies and procedures of the organisation. These describe the required behaviour and actions to be taken by responders while on call and responding to incidents.
REF: "NASCG007 Community First Responder Scheme Policy" -
Please
CLICK HERE
to view
.
Yes
No
Required
Donegal Bay Community First Responder Committee will hold your application on file. No information will be released to any third party, other than National Ambulance Service, without the express permission of the applicant.
Please click submit below.
A copy of your responses will be emailed to the address you provided.
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