Application | Canterbury Almshouses

Before you start

This form collects personal (and optional health) information so the Trustees can assess an application for almshouse accommodation. You may print or save a copy for your records.

Important: When a vacancy occurs, everyone on the waiting list is considered. All indwellers must have a Lasting Power of Attorney in place when appointed.

I confirm I have read and understand the information above *

Applicant details

Full name *

Marital status *

Spouse name

Date of birth *

Place of birth

Religion

Address *

Telephone *

Email (optional)

If provided, we’ll use this to reply to you.

National Insurance number

Dates of residence / family connection to Canterbury area *

Reason for application * Health / social factors (optional)

Financial information

Enter amounts as yearly where possible. Total is calculated automatically.

State pension £

Occupational pension £

Other income £

Total yearly income £

Declarations

I am aware pets are not permitted *

I declare the information given is true *

Typed full name (signature) *

Date *

Submit

After a successful submission, you’ll be redirected to a Thank You page.