Care place application

Martha Trust cares for people with profound physical and multiple learning disabilities. We provide residential and respite care (our respite care is temporarily unavailable) in purpose-built ‘family’ homes that offer the highest standards of nursing care and state-of-the-art facilities. To register your interest in a care place with Martha Trust, simply complete the form below.

Details of person requiring care

Title *

Other title *

First name *

Surname *

Address line 1 *

Address line 2

Town/city *

County*

Postcode *

Country *

Details of person enquiring

Your relationship to the person requiring care *

Other relationship

Title *

Other title *

First name *

Surname *

Address line 1 *

Address line 2

Town/city *

County *

Postcode *

Country *

Email *

Confirm email *

Telephone *

Your contact preferences

Martha Trust would like to keep you updated on our future news, fundraising activities and ways to support us. To opt in to receiving information from Martha Trust, please tick how you would prefer to be contacted:

EmailTelephoneLetter

or email fundraising@marthatrust.org.uk.

We do not sell or swap your details with any third parties, but in order to carry out our work we may need to pass your details on to services companies authorised to act on our behalf.

Any other information that you think will help with your enquiry

Preferred location *Martha House, DealFrances House, DealMary House, Hastings

Type of care required *Residential

Disabilities of person seeking a place

About us

What we do

Our care

Support us

Work for us