Application Forms – Word Docs

Please click to download the following application forms (Word documents)

Application Form – Holidays

Application Form – Organisations

Application Form – Individuals

For the Patient Authority form please click here.

If you would like to post your application – please return to Mr. S. R. James, Clerk to the Trustees, PO BOX 8680, Burton On Trent, DE14 9QB

Last Date for Applications Meeting Dates
16th December 2025 7th January 2026
25th March 2026 8th April 2026
24th June 2026 8th July 2026
30th September 2026 14th October 2026

Accessibility Toolbar