Interested in becoming a CFR?

Please ensure that all fields marked with an asterisk (*) are completed, as these are mandatory.

First name *

Last name *

Date of Birth *

Day

Month

Year

Email Address *

Contact number *

Address line 1 *

Address line 2 * (Optional)

Town *

Postcode *

UK Driving Licence *

I confirm that I have a full UK valid driving licence / international driving licence with insurance to drive in the UK

No, I do not have a driving licence.

DBS and Assessments *

I confirm that I am aged 18 years or older

I confirm I have access to a roadworthy car I can use for responding

I understand I will be required to complete an Enhanced DBS Check (Adults and Children)

I understand I need to be able to physically carry medical equipment and will be required to undergo an Occupational Health Assessment

I understand I will need to attend an in-person clinical assessment if I am successful in my application

I understand I will need to complete annual clinical assessments, complete learning online and attend monthly training sessions with the Trust

How did you hear about our CFR scheme? (Optional)

Are you a health care registered professional or do you hold either FREC3 or 4 qualification? (Optional)

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I consent to having this website store my submitted information so they can respond to my request. This data will be held for to 6 weeks to allow your request to be processed and concluded.