Simulated phishing training form

Complete this form to request simulated phishing training.

Before you start

Make sure you have the following information ready before starting this form:

A preferred start date for the training.

Contact details of 2 people we can contact about the training.

Authorisation details - the name, job title and contact details of an authorising person within your organisation who has approved the request, such as the Senior Information Risk Owner (SIRO) or a senior member of your IT department.

Staff details

You also need to download and complete this spreadsheet with the details of the staff you want to be included in the simulation. You can add up to 30,000 staff. Save the file as the name of your organisation.

We will be in touch to request this from you after receiving your request form.

Primary contact

Name *

Job title *

Email address *

Telephone number *

Secondary contact

Name *

Job title *

Email address *

Telephone number *

Have we ran simulated phishing training for you before? *

Yes
No
Not sure

If we have, when did it start?

Day

Month

Year

Organisation details

Full site name *

ODS code *

When would you like the training to start? *

Day

Month

Year

We will confirm if this date is available and/or rearrange another date on a follow up call.

Estimated (to nearest 100) number of email recipients for this training * The limit is 30,000.

We need the details of at least one person in your organisation who has authorised this * Please provide the name(s), job title(s) and email address(s) of any authorisers.

Can we contact you after the training for feedback?

Yes, I'm happy to be contacted
No, I don't want to be contacted

Your feedback will be used by our communications team for case studies and testimonials.

By signing up to this training you will be agreeing that the Cyber Services Operations Centre (CSOC) Department of Health and Social Care (DHSC) and Care Quality Commission (CQC) are updated on the statistics to gain an overall view of awareness across the health and social care sector. Personal email addresses will never be revealed.

NHS England is the service provider for the NHS Simulated Phishing training. Responsibility for local communication of the phishing campaign should be managed by the NHS organisation taking part.