MyImpactPage - The Mid Yorkshire Teaching NHS Trust

Thank you for applying for a Work Experience placement with Mid Yorkshire Teaching NHS Trust.

What you need to know about Work Experience at Mid Yorkshire Teaching NHS Trust before you proceed

The deadline for applications for this year's Work Experience Programme is 11.59 p.m. on 31 January.
A Work Experience placement with the Mid Yorkshire Teaching NHS Trust is for one week.
You must be aged between 15 and 19. 15 year olds can only undertake placements in non-clinical areas however.
You must attend school/college in the Wakefield Council and North Kirklees areas and/or reside in the Wakefield Metropolitan and North Kirklees areas and/or have a family member who works for the Mid Yorkshire Teaching NHS Trust.
You must have had your MMR (Measles, Mumps and Rubella) vaccinations and be able to provide evidence of this.

Please complete your application form carefully and thoughtfully so that we understand fully why you would like a Work Experience placement with the Trust. Please make sure that you press "Save" at the end of the application form or otherwise your application will not be submitted.

All students wishing to participate in a Work Experience placement with the Trust must complete a Pre-placement Occupational Health questionnaire. This is processed by the Trust's Occupational Health Department. They may contact students if further information is required or if support for students needs to be put in place. In this questionnaire you will be asked to upload your vaccination record. If you do not have your record at home, you can obtain this free of charge from your GP.

We ask all our Work Experience students to enter into an Honorary Contract with the Trust. In this contract the Trust commits to provide high-quality and safe Work Experience placements. In return the Trust requires students to:

comply with the Mid Yorkshire Teaching NHS Trust's policies and procedures, particularly with regard to Health and Safety at Work
be aware that all matters relating to patients' diagnoses or treatment are strictly confidential
behave in a responsible and respectful manner at all times
follow the Trust's dress policy, including its "bare below the elbows" policy.

We hope that you find this information useful. If we can be of any further help, please do not hesitate to contact us. Our e-mail address is midyorks.workexperience@nhs.net.

Danielle Norman Sarah Rowland

Team Manager Work Experience Co-ordinator

The MY Voluntary Services and Work Experience Team

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Account

Username

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Username must not end with space

Username must not have two or more spaces in a row

Password

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	Password needs to have at least 12 characters.
	Password needs to have at least one upper case character.
	Password needs to have at least one lower case character.
	Password needs to have at least one number.
	Password cannot be on a list of commonly-used passwords.

Confirm Password

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	Password needs to have at least one upper case character.
	Password needs to have at least one lower case character.
	Password needs to have at least one number.
	Password cannot be on a list of commonly-used passwords.

Name Fields

First NameRequired
Last NameRequired

Address

Address line 1Required
Address line 2
CityRequired
Country Required
State / Province Required
Zip / Postal CodeRequired
Email Address Required

Phone Numbers

Required Please enter at least one phone number

Home Phone
Work Phone
Work Extension
Cell Phone
Phone Preference

Text Messaging

I want to receive text messages on my cell phone.
Cell Phone Number

Misc Fields

Date of Birth mm/dd/yyyyRequired
Region

WORK EXPERIENCE: ABOUT YOU

Year of Work Experience Application

Required

Name and address of your school/college/education provider, if applicable:

Required

I give permission to Mid Yorkshire Teaching NHS Trust to share details about my work experience placement with my school/college if requested and relevant.

Required

Are you a current patient of Mid Yorkshire Teaching NHS Trust?

Required

If Yes, please give details of the Team/s. Please note that we are not able to place you with a clinical team under which you are a patient. This is the only reason for collecting this information.

Do you have a relative who works for Mid Yorkshire NHS Teaching Trust?

Required

If Yes, please give details:

Do you currently or have you ever volunteered for Mid Yorkshire Teaching NHS Trust?

Required

If Yes, please give details:

Have you previously had any volunteering or work experience in any other healthcare setting? If Yes, please give details.

Required

Do you have volunteering experience in any other setting? If Yes, please give details:

Required

Have you ever taken place in the NHS Cadet Programme? If Yes, please give details.

Have you previously undertaken Work Experience with Mid Yorkshire Teaching NHS Trust?

Required

If Yes, please give details:

WORK EXPERIENCE: FOR STUDENTS UNDER 18 ONLY - PARENT/CARER DETAILS

Parent/Carer Name:

Required

Parent/Carer's Contact Number:

Required

Parent/Carer's E-mail Address:

Required

WORK EXPERIENCE: WHAT YOU WOULD LIKE TO DO AND WHY

Mid Yorkshire Teaching NHS Trust has 3 hospitals sites, Dewsbury District Hospital, Pinderfields Hospital in Wakefield and Pontefract Hospital. We have colleagues working in the community at different sites. Work Experience placements could be based at any one of these hospitals or in the community, depending on where departments are based. Students can use the Trust’s free 113 bus service to move between the three hospitals.

I confirm that I have read the "Guide for Work Experience Applicants".

What are your career aspirations?

Required

In which speciality/specialities or department(s) would you like to do your placement?

Required

What motivates you to apply for a work experience placement with this speciality/department?

Required

WORK EXPERIENCE: PLACEMENT DATES

Before selecting the week(s) when you would like to do a placement, please check with your school/college that you will be available for the whole week. Schools, colleges and examination boards publish their calendars well in advance. You are expected to attend every day of the placement week. Please indicate all the weeks when you would be able to undertake a placement.

Week beginning Monday 30 March 2026 (Easter holiday)

Required

Week beginning Monday 29 June 2026

Required

Week beginning Monday 6 July 2026

Required

Week beginning Monday 13 July 2026

Required

I confirm that I have checked with my school/college and parent(s)/carer(s) that I can attend a work experience placement on the date(s) which I have chosen.

Required

I understand that the date of a placement cannot be changed once an offer is made.

Required

WORK EXPERIENCE: ACCESS INTO MEDICINE COURSE

The MYTT Medical Education team hosts Access into Medicine courses for Year 11 and Sixth Form students who are interested in a future career in Medicine. Please read the "Access into Medicine" guide for full details.

Please note that an expression of interest does not guarantee a place on the course.

I am interested in attending the Access into Medicine course on Monday 22 June 2026.

I am interested in attending the Access into Medicine course on Tuesday 23 June 2026.

I am interested in attending the Access into Medicine course on Wednesday 24 June 2026.

WORK EXPERIENCE: OCCUPATIONAL HEALTH

To be able to undertake Work Experience with Mid Yorkshire Teaching NHS Trust you must:

be fully vaccinated (2 doses) with Measles, Mumps and Rubella (MMR) vaccinations
be able to provide evidence of this.

Your GP's surgery can provide a printout of your vaccinations free of charge.

I understand the requirements about Measles, Mumps and Rubella (MMR) vaccinations.

Required

What reasonable adjustments or support do you need to enable this placement to be successful?

WORK EXPERIENCE: EMERGENCY CONTACT

Name:

Required

Contact Number:

Required

Relationship to You:

Required

Home Address:

Required

Postcode:

Required

WORK EXPERIENCE: EQUALITY AND DIVERSITY MONITORING INFORMATION

Please help MYTT provide support and breakdown barriers to inclusion by completing these equality and diversity monitoring questions. This information will be collected and reported on anonymously, they will not impact your selection as a Work Experience student.

This is not compulsory. If you prefer not to answer a question, please select the response ''prefer not to answer" from the drop-down menu.

Which gender do you identify with?

Required

Which of the following options best describes how you think of yourself?

Required

What is your age?

Required

What is your ethnic group?

Required

Do you have a health condition or disability or are you neurodivergent?

Required

What is your religion?

Required

WORK EXPERIENCE: REHABILITATION OF OFFENDERS ACT

Have you at any time received a court conviction?

Required

If Yes, please give details:

Declaration: I declare that the information given on this form is true and complete. I understand that if false information is supplied, this will result in my placement being terminated.

Required

WORK EXPERIENCE: THE GENERAL DATA PROTECTION REGULATION 2018

As you have provided personal information to the Mid Yorkshire Teaching NHS Trust on your application for a work experience placement, this form seeks your consent for us to use the information provided.

The General Data Protection Regulation 2018 sets out certain requirements for the protection of your personal information against unauthorised use of disclosure. The Act also gives you certain rights. Information about this is available on The Mid Yorkshire Teaching NHS Trust website.

By agreement below, you consent for the Mid Yorkshire Teaching NHS Trust to use and keep this information about you, provided by you or third parties relating to your application.

Such information may include details relating to your health or ethnic origin. If your application is unsuccessful, or you choose not to take up a work experience placement, then the information will not be held for longer than is necessary, after which time it will be destroyed. However, some relevant information may be retained in the longer term to facilitate our equal opportunities monitoring.

If your application is successful, the information will form part of your file and we will be entitled to process it for all purposes in connection with your work experience placement.

Your contact details (email address/postal address and telephone number) may be shared with Trust staff in relation to your work experience placement.

I CONSENT TO THE USE OF MY PERSONAL INFORMATION FOR THE PURPOSES STATED AND ON THE TERMS SET OUT ABOVE.

Required

WORK EXPERIENCE: THE MID YORKSHIRE TEACHING NHS TRUST FAIR PROCESSING INFORMATION NOTICE

The Mid Yorkshire Hospital NHS Trust needs to keep information about you for purposes connected with your work experience placement, including your application. It will include information about contact names and addresses and information about the activities you have undertaken and where. We believe these uses are consistent with the principles of the GDPR. The information we hold will be for our management and administrative use only but we may, from time to time, need to disclose some information we hold about you to relevant third parties (e.g. where legally obliged to do so or where requested to do so by you for the purposes of giving a reference). We would seek your consent to do so, prior to disclosing any information where necessary. We may also keep information about your health for the purposes of: compliance with our health and safety obligations; for considering how your health affects your ability to do your work experience placement and, if you are disabled, any adjustments to be made to assist you. If you have provided it, the Trust keeps information about your racial or ethnic origin and disability status for the purpose of monitoring the provision of equal opportunities. If you need to know what information is kept about you then the Trust will tell you and explain why it is kept.

Please confirm that you have read the Mid Yorkshire Teaching NHS Trust Fair Processing Notice

Required

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