Trinity House Application Form

Trinity House Application Form

Applicant Details


Date of Birth




Course Details

Academic Institution


Year of Study (when in Res)

Student Number


Religous Affiliation

Are you a member of the ACTS branch on your campus?

What Chaplaincy / Parish activities have you been involved in previously?

What chaplaincy activities will you be or hope to be involved in whilst in residence?

Extra-curricular activities

Have you been in another residence?

Why have you decided to move from that residence?

Health and Emergency Contacts

Have you Been Vaccinated for Covid-19

List any importance illnesses you are or may be suffering from

Your doctor’s details

Emergency Contact

Payment Details

How are your fees being paid"

If you under a bussary please provide details

If not on a Bussary please fill in details of the person reponsible