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Trinity House Application Form

Trinity House Application Form

Applicant Details

Name

Date of Birth

Phone

Email

Address

Course Details

Academic Institution

Qualification

Year of Study (when in Res)

Student Number

General

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