Application form

Unfortunately we are not accepting any further applications for work experience placements.

The online application is only an expression of interest and does not guarantee that a work experience opportunity will be granted.

Before a work experience applicant can start, all documentation and clearance must be received / completed. This normally takes between eight and twelve weeks.

All applicants will be advised if they have been successful / unsuccessful and all decisions on work experience applications are final.

Please note students are not permitted to complete work experience in an area where a relative is working.

To apply for a work experience placement please complete the application form below:

Work experience application

Full Name and Surname

Full Postal Address and Postcode

Telephone or mobile

Date of birth

Name of school or college

Preferred Hosptial

Preferred Dept

Preferred Placement Start ( Must be a Monday Start)

Please tell us what career you are interested in.

'Care received was fantastic and I was very well looked after and very impressed.'

Patient, Day Surgery, Darlington Memorial Hospital