Please ensure that you enclose all copies of relevant certificates and identification.  This can be done by either uploading where indicated, or by sending hard copies to HR Department, Platinum Ambulance Service Limited, Hoes Farm, Coolham Road, Shipley, West Sussex, RH13 8PF

Before completing the application form, please download and complete our Conflict of Interest form and Medical Questionnaire below and upload copies where indicated.


Application for Employment

Please provide details below of your Next of Kin:

Rehabilitation of Offenders: As Platinum Ambulance Service Ltd meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974, all applicants who are offered employment will be the subject of a criminal record check from the Criminal Record Bureau before the appointment is confirmed. This will include details of cautions, reprimands, or final warnings, as well as convictions. Accordingly, all applicants are required to provide information in relation to the said Act regarding any convictions current, spent or pending under the provisions of the act.

If you have indicated "Yes" or have any outstanding convictions this may not automatically go against your application, but further discussions will be held at interview if short-listed. Information obtained via a disclosure will be held for the purposes of this application only and will conform to the General Data Protection Act.

Driving Licence - Please provide details of your driving licence below:

Education and Training - Please give details below of your education and training:






Employment History - Please give details below of your full employment history, since leaving school, starting with your current/most recent employer:









References - Please provide details of two employment and one character reference. Employment references must be your current employer or, if you are not currently employed, please give details of your two most recent employers. Your character reference should be someone who is not a relative and who has known you for at least five-years. Please provide this information in full or your application could be delayed.




Additional Information - Please upload copies of additional information as indicated below.

Conflict of Interest Declaration and Medical Questionnaire - Please upload completed copies of the Conflict of Interest and Medical Questionnaire you downloaded at the start of this application. Without completed copies of these documents, we are unfortunately unable to process your application.
All information provided on this application form will be treated in the strictest confidence. All perspective employees that are short listed and asked to come to an interview will be expected to sit an aptitude test to further ascertain their suitability for the post applied for. Failure to pass or refusal to sit this application will result in the withdrawal of any further employment.

Data Protection: To enable us to review your application, under the General Data Protection Regulations (GDPR), we need your formal consent to hold your data. Consent can be given by selecting the option below. Without your consent we will unfortunately not be able to process your application. Please note, you can email us at info@platinumambulance.com at any time and ask us to remove any information we hold.