RocketTheme Joomla Templates
     
Home Registration
Registration
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon
* This Field is required This Field IS NOT visible on profile Information for: First Name : Please enter your real first name.
* This Field is required This Field IS NOT visible on profile Information for: Last Name : Please enter your real last name.
* This Field is required This Field IS NOT visible on profile Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
* This Field is required This Field IS visible on profile Information for: Username : Please enter a valid username.  No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required This Field IS NOT visible on profile Information for: Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS NOT visible on profile Information for: Verify Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS NOT visible on profile Information for: Street Number : Enter all the details of your street number e.g. 3a/65
* This Field is required This Field IS NOT visible on profile Information for: Street Name : Enter the name of your street and include its designation i.e. street road, crescent, parade etc.
This Field IS NOT visible on profile Information for: Suburb : Detail your suburb. Almost all areas; irrespective of how small they are; have a suburb defined by NZ Post. To find out your suburb and postcode go to the <ahref=\"http://www.nzpost.co.nz/Cultures/en-NZ/OnlineTools/PostCodeFinder/\">NZ Post</a> site.
* This Field is required This Field IS visible on profile Information for: Town or City : Enter your town or city. To find out the correct name of your town or city go to the <ahref=\\\"http://www.nzpost.co.nz/Cultures/en-NZ/OnlineTools/PostCodeFinder/\\\">NZ Post</a> site.
This Field IS NOT visible on profile Information for: Postcode or RD Number : Enter your postcode or RD number. To find out your postcode go to the <ahref=\\\"http://www.nzpost.co.nz/Cultures/en-NZ/OnlineTools/PostCodeFinder/\\\">NZ Post</a> site.
* This Field is required This Field IS NOT visible on profile Information for: Cellphone Number : Enter your primary contact number, preferably a cellphone number.
* This Field is required This Field IS NOT visible on profile Information for: Employee ID Number : Please enter your employee ID number (also known as your CAD number)for cross checking purposes. If you do not know this, please enter 111111 and we will follow up authentication via an alternative means.
* This Field is required This Field IS visible on profile Information for: Primary District Affiliation : Enter the District where you primarily work in for your paid role.
* This Field is required This Field IS visible on profile Information for: Primary Function Area : Enter your primary function area i.e. the main area you work in for your paid function in the ambulance service.

If you work on a general duties vehicle i.e. mixed emergency response and PTS, then choose EAS.

If you work on a PTS vehicle that occasionally undertakes emergency responses, then choose PTS.

If your primary role is a management one i.e. you are not working on an ambulance and are a manager that is not a CSO or RSO, then choose Management.
* This Field is required This Field IS visible on profile Information for: Clinical Qualification : Enter your current authority to practice level.

ALS includes all AP\\\'s & ICP\\\'s.
ILS includes all Paramedics & Upskilled Paramedics.
BLS includes all Ambulance Officers.
Pre BLS includes all members who have a role less than Ambulance Officer level.
Not applicable should be selected where you do not have a clinical role in the ambulance service.
This Field IS visible on profile Information for: EMD Level : Enter your current EMD Level only if you are qualified to work in an EACC.
 
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon