Skip to content

This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more here. Hide this message

Online forms

Long Service Awards: Application form

Our long service annual awards proudly recognise staff who have completed 10, 25 and 40 years’ consecutive service within the NHS.  Staff who have transferred in or been part of a TUPE arrangement are also eligible.

  • Employees celebrating 10 years receive a certificate and pin badge.  Please note that this is a new award and is only relevant to those who achieved their 10 years service in the financial year 2020/21 onwards.
  • Employees celebrating 25 and 40 years' are invited, along with a guest, to an evening dinner and drinks reception, where they are presented with a certificate, a Yorkshire traditional hamper and a long service pin badge.

Most, if not all staff, are captured automatically and will be contacted if they are eligible - but we know occasionally the system is less than perfect, so we also ask staff to complete the online form below to ensure no-one is missed.

About You

Full name*

Position*

Date current role commenced*

Location*

Care Group or department*

Payroll number

Home address

Contact telephone number*

Home email*

Work email*

Work telephone number*

Which long service celebration are you applying for?*

Official employment start date with York & Scarborough Teaching Hospitals NHS Foundation Trust*

Service History

Please give exact details to support your application (without exact details we will not be able to verify your application)

Date employment commenced within the NHS*

NHS Trust/Hospital

Role

Date employment commenced with York and Scarborough Teaching Hospitals NHS Foundation Trust

Role

Email 2*:

* required fields

Two female receptionists on the phone at a desk smiling

Feedback

Chinese Poland

View all languages >

Update for visitors

From 3pm on Friday 2 May, all visitor restrictions at York Hospital will be lifted