Work Experience

This form offers you the opportunity to register your interest in a work experience placement with the NHS Trusts across Birmingham.
To complete the form, you will need to provide full and valid information on a number of key section, including:

    • Your personal details
    • Any previous work experience you have completed
    • Any current or predicted qualifications you may possess
    • A pre-placement occupational health questionnaire
    • A placement conduct agreement
    • An equal opportunities monitoring form
    • A criminal disclosure form
    • An agreement between yourself and the Trust for which you have applied, and also between your parents

    Student Login
    Username:
    Password:
Admin Login
Username:
Password: