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.
Please let us know your name.
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Please let us know your email address.
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Nest of Kin
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Church Connection
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Employment History
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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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By submitting this form, you agree to allow us to use the information provided on this form for our own use. We will use the information to deal with your request and contact you. We do not pass your information onto any third parties.
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Registered Charity No. 231984
Registered Charity Office: Trinity Estate Office, Newcastle House, 37 Bridgegate, Retford, DN22 7UX

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