Rep Application
Please complete the form below to apply to become a rep with GMB@EMAS. Simply complete the form below and your request will be actioned as soon as possible.
About You
Name
Email Address
Telephone
Division
-- Select Division --
Leicestershire
Nottinghamshire
Lincolnshire
Derbyshire
Northamptonshire
EOC
PTS
Operational Support Services
Station
-- Select Station --
Alfreton
Ashbourne
Bakewell
Barton
Beechdale
Belper
Birstall HQ
Bishops Education Centre
Boston
Bourne
Brackley
Bracebridge EOC
Moulton PTS
Brigg
Buxton
Carlton
Clifton Campus
Chesterfield
Coalville
Corby
Daventry
Eastwood
Eckington
Gainsborough
Goodwood
Gorse Hill
Grantham
Grimsby
HART
Heath
Hinckley
Holbeach
Horizons Place EOC
Horizons Place HQ
Horncastle
Hucknall
Ilkeston
Kettering
Kettering PTS
Kingsmill
Kingsway Education Centre
Lincoln
Lincolnshire Divisional HQ
Loughborough
Louth
Lutterworth
Mablethorpe
Market Harborough
Market Rasen
Matlock
Mereway
Meridain Eduction Center
Mickleover
Narborough
New Mills
Newark
NNAS
Northampton Education Centre
Oakham
Raynesway
Raynesway HQ
Retford
Ripley
Scunthorpe
Skegness
Sleaford
Spalding
Stamford
Stapleford
Swadlincote
Towcester
RAF Waddington
Wellingborough
Wilford
Willow Row
Worksop
Long Eaton
Moulton Divisional HQ
Heanor
Job
-- Select Job --
Urgent Care Assistant
Emergency Care Assistant
Technician
Paramedic
Emergency Care Practitioner
Domestic
Administrator
Management
EOC - Dispatcher
EOC - Emergency Medical Advisor
EOC - CAT
EOC - Manager
HEMS
Resource Coordinator
Patient Transport
Driving Tutor
Tutor
Fleet
Make Ready
Student
Vehicle Mechanic
Ambulance Support Crew
Station Manager
Duty Commander
Divisional Senior Clinical Leader
Senior Manager
Specialist Paramedic
Paramedic Apprentice
PTS - Manager
Address
Membership and Sanctions
Have you been a GMB member for more than 12 months?
Please tick to confirm you have been a member for 12 months
Do you have any active sanctions / formal warnings on your file?
Please tick if you have any of the above.
Supporting Information
Please add any supporting information
Submit Application!
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