Please read the following before completing the form below:

1. The Earl of Southampton Trust provides housing for people in need in accordance with the charity’s Governing Document. The charity’s entry criteria is: people in need and currently resident in the Ancient Parish of Titchfield (see map on our homepage)

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2. Data Protection: It is part of the Trustees’ responsibilities to ensure that applicants for almshouses are suitably qualified under the terms of the charity’s governing document. Trustees, therefore, need to investigate the personal circumstances of applicants. The Charity complies with the regulations for data security under the Data Protection Act 2018 and UK General Data Protection Regulations (UK GDPR). The data we collect has been classified as Sensitive Data

under Article 9 of UK GDPR. We have strong procedures and policies in place to protect the collection and storage of this data. 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 since the charity reserves the right to investigate and verify what you write in this form, but no details will be disclosed for any inappropriate purpose. You may have access to your personal information on request.

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3. We receive many applications so please provide as much background information as possible, continuing on additional paper if necessary, to show why you may be suitable for an Almshouse. We cannot consider applications that are incomplete.

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If you have any issues or need help completing your form, please contact us.