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grade 2 listed alms houses on Hospital Road, Retford

Application Form for Admission as a Brother of Trinity Hospital

Data Protection Statement: The Hospital of the Holy and Undivided Trinity provides
accommodation for single/widowed gentlemen who are aged over 50 years and live in
the Retford or surrounding area. It is the Trustees’ responsibility to ensure that
applicants for almshouses are suitably qualified under the terms of the charity’s
governing instrument. Trustees therefore need to investigate the personal circumstances
of applicants. The personal data supplied on this form, and other information relating to
an almshouse appointment or your care management, will be held on file. Some details
may be checked with relevant organisations, but none will be disclosed for any
inappropriate purpose. You may have access to your personal information on request.

Personal Details

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Please select an item.


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Next of Kin

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Church Connection

Are you a confirmed member of the Church of England? if no, what is your religious affiliation? A value is required.


Employment History

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Please give brief details of previous employment


Legal Matters

if yes please give details
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Financial Details

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Medical Details (please note: it is essential that almshouse residents are able to care for themselves, with the assistance of family and social services as necessary).

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References (please give details of three people who can give a personal character reference, one of whom must be the clergyperson responsible for your Church of England parish. Referees will be asked to comment from their own knowledge of the candidate).

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Please make a selection.

 


Click here to download a pdf application form for admission as a brother of Trinity Hospital retford
Trinity Estates properties for rent in Retford, Nottinghamshire