Please read the notes below carefully before completing the application form.
Your application can not be considered until we receive your completed form. The information you provide will be treated as confidential and in line with General Data Protection Regulation (GDPR).
Please provide as much detail as possible to help us fully understand your circumstances and enable us to recommend the most appropriate support option for you.
Who we can help
We will only consider applications from:
- People who are in need and any assistance given must be beneficial to the individual
- A UK resident who has worked within the UK, UK dependencies or Gibraltar. Apart from the dependencies and Gibraltar, support is not offered to overseas applicants or their dependents. Overseas work is not included within the minimum 12 months service requirement
You must meet at least one of the following criteria:
- Worked for an NHS ambulance service or a CQC-registered independent/private ambulance service for at least 12 months (can be currently serving or retired)
- A student of a Paramedic Science course from year two onwards whose request is linked to their placement
- A current volunteer with a UK ambulance service who has been volunteering with the service for at least three years. This doesn’t include event first aiders or people who volunteer on Medicar schemes
If you meet the criteria above, click the next button below to start your application.
