HCSWD Application

1. Healthcare Support Worker Development Programme Form

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).

For more information around the programme, visit our website here

To understand how we will use this data, please view our Privacy Notice here.

1. Can you commit to a 6-month period of at least 30 hours a week? *


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


3. Do you have the right to work in the UK? *


4. First Name: *


5. Last Name: *


6. Email Address: *


7. Contact Number: *


8. House name/number: *


9. Postcode: *


10. Date of Birth: *


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 Care Support Worker. *


13. What is your current employment status? *