Individual Application

Please download, print and complete the Individual Application Form on the right and either email or post to us

Alternatively, if you would prefer us to send you  an application form in the post, please either ring 01772 821021 and ask to speak to someone regarding the Harris Charity, or email us at

Your Information


We are sorry , the online application section is not currently up to date. Please follow instructions above

First Name:
Name of individual
(if different from above):
DOB of individual:
Where do you (or the individual) live?
Telephone Number(s):

How did you learn about the Trust?