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Membership Application

Legally, a Foundation Trust must have a registered membership reflective of the communities it serves.

Members are in effect the lifeblood of our organisation. Only members can elect and be elected as Governors, and only members can be appointed as Non-Executive Directors of our Trust. Members will have an increasingly important role to play in shaping the future provision of our services.

We want as many people as possible to become members of our Trust. By law we are required to keep a minimum amount of information about our members. We will keep this information confidential in accordance with the Data Protection Act 1998, and will not share it with any other party.

To apply for membership, simply fill in the form below.  If you have been introduced to the Trust by a member of staff, please let us know their name when you apply for membership.

If you'd like to find out more about what membership involves, visit our Being a Member page.


Membership Application Form

By law we have to keep basic information about you as a member. This information is held in a register that any member of the public can request to see. If you do not wish your information to be seen, please tick the box below. We will keep any information we hold about you confidential in accordance with the Data Protection Act 1998.

Please note that you must be at least aged 12 to become a member of the Foundation Trust
Please be aware our preferred method of contacting you is by email or occasional text. If you would prefer not to be contacted by these means please tick here:
We have a statutory duty to try to ensure our membership is representative of the community we serve. We would like to know details of your ethnic background, but would point out that it is optional for you to provide this information.
If you consider yourself to have a disability, please give us the details.
How did you hear about becoming a member of the Foundation Trust (e.g. by post, telephone, promotional events, etc)?
What level of engagement do you want to have with the Foundation Trust?
Our members will have the opportunity to elect and stand for election as Governor on the Trust Assembly of Governors.