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It requires identity, contact, education, employment, skills, family, and emergency contact information, plus disability nature, mobility, assistive aids, communication preferences, and preferred travel mode. Applicants must attach supporting documents such as medical report/discharge summary, NRIC copies, and therapy/social reports when applicable. The form includes declaration and consent authorizing disclosure of relevant information for processing and service administration.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/hospital-to-work-application-form-eligibility-criteria-and-declaration/500398/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/hospital-to-work-application-form-eligibility-criteria-and-declaration/500398.png","ImageObject",300,407,{"name":92,"@type":93},"jayni","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Who is eligible to apply for the Hospital-to-Work Programme?","Question",{"text":112,"@type":113},"Eligibility includes Singapore Citizens or Singapore PRs, applicants aged 16 and above, and those who have certified acquired disability (intellectual, hearing, physical, or visual).","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What documents must be attached during submission?",{"text":117,"@type":113},"Attach clear photocopies of the applicant’s medical report/discharge summary/memo on disability, NRIC (front and back), and the relevant therapy/social report (physiotherapy, occupational, speech, or social) if applicable.",{"name":119,"@type":110,"acceptedAnswer":120},"What does the declaration and consent cover?",{"text":121,"@type":113},"The applicant consents to provide particulars to service providers and authorizes disclosure of relevant information to facilitate application processing, administration and provision of services, and related evaluation or policy formulation without identifying the applicant as a specific individual.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},500398,1791490384,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},3985747859343,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","20 Lengkok Bahru Road, \\#02-06 Singapore 159053  \nInfoline : 1800 8585 885  \nFax : +65 6226 2366  \nEmail : contactus@sgenable. sg  \nWebsite : www.sgenable. sg Co. Reg. No. 200822425N  \nHOSPITAL-TO-WORK APPLICATION FORM  \nEligibility criteria for employment and training assistance are as follows:  \n􀁸 Singapore Citizen or Singapore Permanent Resident  \n􀁸 Aged 16 and above  \n􀁸 Have certified acquired disability (Intellectual, Hearing, Physical or Visual)  \nPlease attach a copy of the following documents during submission of this application:  \n􀁸 Clear photocopy of the applicant‘s Medical Report/ Discharge Summary/Memo on Disability  \n􀁸 Clear photocopy of the applicant’s NRIC (Front and Back)  \n􀁸 Clear photocopy of the applicant’s Physiotherapy / Occupational / Speech Therapy / Social Report (if applicable)  \n\n| A. APPLICANT’S PARTICULARS |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Name: |  |  |  |  |  |  |  |  | NRIC: |\n| Gender:\u003Cbr>􀀍 Male 􀀍 Female | Date of Birth: Age: |  |  |  |  |  |  |  | Citizenship:\u003Cbr>􀀍 Singapore Citizen 􀀍 Singapore PR |\n| Address: |  |  |  |  |  |  |  |  | Home Telephone No:\u003Cbr>Mobile Phone No:\u003Cbr>Office Phone No: |\n| Postal Code: |  |  |  |  |  |  |  |  |  |\n| E-mail Address: |  |  |  |  |  |  |  |  | Religion: |\n| Race: 􀀍 Chinese 􀀍 Malay 􀀍 Indian Others:   |  |  |  |  |  |  |  |  |  |\n| Marital Status: 􀀍 Single 􀀍 Married 􀀍 Separated 􀀍 Divorced 􀀍 Widowed |  |  |  |  |  |  |  |  |  |\n| Highest Educational Level:\u003Cbr>􀀍 No Formal Education 􀀍 Primary 􀀍 Secondary\u003Cbr>􀀍 GCE ‘N’ Level 􀀍 GCE ‘O’ Level 􀀍 GCE ‘A’ Level\u003Cbr>􀀍 ITE Certificate 􀀍 Diploma 􀀍 Degree\u003Cbr>􀀍 Postgraduate 􀀍 Others: Other Professional Qualifications (if, any): |  |  |  |  |  |  |  | Language: Spoken Written\u003Cbr>English 􀀍 􀀍\u003Cbr>Mandarin 􀀍 􀀍\u003Cbr>Malay 􀀍 􀀍\u003Cbr>Tamil 􀀍 􀀍\u003Cbr>Others: |  |\n| Current Employment Status: 􀀍 Employed 􀀍 Unemployed |  |  |  |  |  |  |  |  |  |\n\n\n| B. SKILLS |\n| --- |\n| PC Skills: 􀀍 MS Word 􀀍 MS Excel 􀀍 MS PowerPoint 􀀍 Email 􀀍 Internet\u003Cbr>Other Skills:  \u003Cbr>Driving Licence: Class   |\n\n1  \nUpdated on 14 Feb 18  \n\n| C. DISABILITY, MOBILITY AND ASSISTIVE AIDS |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Nature of Disability:\u003Cbr>􀀍 Intellectual 􀀍 Developmental 􀀍 Hearing 􀀍 Physical 􀀍Visual\u003Cbr>􀀍 Others, please specify: 􀀍 Multiple, please specify: Please elaborate on the condition: |  |  |  |  |  |\n| Preferred mode of communication: |  |  |  |  |  |\n| 􀀍 Verbal 􀀍 Lip reading |  |  |  | 􀀍 Signing | 􀀍 Written |\n| 􀀍 Communication Devices: |  |  |  | 􀀍 Others: | _________________________ |\n| Ability to travel independently: |  |  |  |  |  |\n| 􀀍 Yes, please specify mode: |  | 􀀍 MRT |  | 􀀍 Bus 􀀍 Car | 􀀍 Taxi 􀀍 Others: |\n| 􀀍 No, Please specify reason: |  |  |  |  |  |\n| Usage of mobility aids: 􀀍 No 􀀍 Yes (Please indicate the aid used):  \u003Cbr>􀀍 Manual/ Motorised Wheelchair 􀀍 Prosthesis 􀀍 Walking Frame 􀀍 Rollator\u003Cbr>􀀍 Walking Stick 􀀍 Quad Stick 􀀍 Others: |  |  |  |  |  |\n| Usage of hearing aids: | 􀀍 No |  | 􀀍 Yes (Please specify): |  |  |\n| Usage of visual aids: | 􀀍 No |  | 􀀍 Yes (Please specify): |  |  |\n\n\n| D. PARTICULARS OF IMMEDIATE FAMILY MEMBERS |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Name | Age | Relationship | Staying\u003Cbr>Together\u003Cbr>[Yes/No] | Marital\u003Cbr>Status | Occupation |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n\n\n| E. EMERGENCY CONTACT |  |  |\n| --- | --- | --- |\n| Name | Relationship | Contact Detail |\n|  |  |  |\n\n\n| F. EDUCATION INFORMATION |  |  |  |\n| --- | --- | --- | --- |\n| Please provide your highest qualification. |  |  |  |\n| Qualification Obtained | Period of Study |  | Name of School |\n|  | From (year) | To (year) |  |\n|  |  |  |  |\n\n\n| G. EMPLOYMENT HISTORY |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Please indicate current or three most recent jobs. |  |  |  |  |\n| Organization Name | Period of Work\u003Cbr>(month/year) |  | Position held | Main Job Duty & Last Drawn Salary |\n|  | From | To","cbCaitwv3czloheL","https://ap.wps.com/l/cbCaitwv3czloheL","pdf",414558,"English","# Applicant’s Particulars\n# Skills\n# Disability, Mobility and Assistive Aids\n# Particulars of Immediate Family Members\n# Emergency Contact\n# Education Information\n# Employment History\n# Support History\n# Others\n# Declaration and Consent","[{\"question\":\"Who is eligible to apply for the Hospital-to-Work Programme?\",\"answer\":\"Eligibility includes Singapore Citizens or Singapore PRs, applicants aged 16 and above, and those who have certified acquired disability (intellectual, hearing, physical, or visual).\"},{\"question\":\"What documents must be attached during submission?\",\"answer\":\"Attach clear photocopies of the applicant’s medical report/discharge summary/memo on disability, NRIC (front and back), and the relevant therapy/social report (physiotherapy, occupational, speech, or social) if applicable.\"},{\"question\":\"What does the declaration and consent cover?\",\"answer\":\"The applicant consents to provide particulars to service providers and authorizes disclosure of relevant information to facilitate application processing, administration and provision of services, and related evaluation or policy formulation without identifying the applicant as a specific individual.\"}]","HOSPITAL-TO-WORK APPLICATION FORM - Eligibility Criteria and Declaration | PDF",1791011060,18]