HCSWD Application

Register your interest for the Healthcare Support Worker Development (HCSWD) Programme with NHS Professionals using the form below.

This paid placement programme offers you a unique opportunity to learn on the job and provide great patient care. This will be at least 30 hours per week, across earlies, days and nights. At the end of the programme, you will achieve a Care Certificate, becoming a qualified Healthcare Support Worker (otherwise known as a Healthcare Assistant).

Please Note: Only applicants that have UK right to work eligibility can apply to this programme.

By completing this form, you are providing your details so that we can reach out if there is a programme within your local area. Often Trusts host these at different times throughout the year. Note this is not equivalent to a formal application, so please apply directly on Indeed where possible.

For more information around the programme, visit our website here.

Disclaimer
We regret we cannot contact everyone who has submitted their details, therefore if you do not hear from us within 2 months of completing this form, please assume you have not been successful on this occasion.
To understand how we will use this data, please view our Privacy Notice here.

1. First Name: *

2. Last Name: *

3. Email Address: *

4. Contact Number: *

5. Where are you based in terms of town/city so that we may keep you informed of local opportunities? *

6. Date of Birth:
Note you must be 18 years or older during the programme. *

	DD/MM/YYYY

7. Do you have a full UK Driving License and access to your own car?

Yes
No

8. Can you commit to either a 3-month or 6-month period of at least 30 hours a week? *

Yes

No

9. Are you fully flexible and able to undertake shift work consisting of long days, nights, weekends and bank holidays? *

Yes
No

Other (please specify):

10. Do you have the right to work in the UK? If you are an asylum seeker, we may be able to provide additional support with your application. *

Yes
No

Asylum Seeker
Other (please specify):

11. Do you have any relevant job experience in a care setting? e.g. Care Home / Community Care experience
*

Yes

No

If yes, please provide a little more information.

HCSWD Application

1. Healthcare Support Worker Development Programme Form

1. First Name: *

2. Last Name: *

3. Email Address: *

4. Contact Number: *

5. Where are you based in terms of town/city so that we may keep you informed of local opportunities? *

6. Date of Birth:
Note you must be 18 years or older during the programme. *

7. Do you have a full UK Driving License and access to your own car?

8. Can you commit to either a 3-month or 6-month period of at least 30 hours a week? *

9. Are you fully flexible and able to undertake shift work consisting of long days, nights, weekends and bank holidays? *

10. Do you have the right to work in the UK? If you are an asylum seeker, we may be able to provide additional support with your application. *

11. Do you have any relevant job experience in a care setting? e.g. Care Home / Community Care experience
*

12. Please outline why you would like to become a Healthcare Support Worker. *

13. What is your current employment status? *

HCSWD Application

1. Healthcare Support Worker Development Programme Form

1. First Name: *

2. Last Name: *

3. Email Address: *

4. Contact Number: *

5. Where are you based in terms of town/city so that we may keep you informed of local opportunities? *

6. Date of Birth:Note you must be 18 years or older during the programme. *

7. Do you have a full UK Driving License and access to your own car?

8. Can you commit to either a 3-month or 6-month period of at least 30 hours a week? *

9. Are you fully flexible and able to undertake shift work consisting of long days, nights, weekends and bank holidays? *

10. Do you have the right to work in the UK? If you are an asylum seeker, we may be able to provide additional support with your application. *

11. Do you have any relevant job experience in a care setting? e.g. Care Home / Community Care experience *

12. Please outline why you would like to become a Healthcare Support Worker. *

13. What is your current employment status? *

6. Date of Birth:
Note you must be 18 years or older during the programme. *

11. Do you have any relevant job experience in a care setting? e.g. Care Home / Community Care experience
*