You are here: Home > Work with us > Staff Benefits and Wellbeing > Staff Lottery > Application Form
Work with us
In this section
Full name (including middle names)*
Please tick here if you are bank staff ONLY
If you are bank staff you will need to set up a standing order to take payment for you lottery. Payroll will send you the necessary details.
I am not a member of the lottery but I want to join
Please select the amount of numbers you'd like on the lottery (£2 per number per month)
I am already a member of the lottery but want extra numbers
Number of numbers already held
Number of additional numbers required (not including already held)
I authorise the deduction of lottery entry fees from my salary with effect from the month prior to my number(s) being entered into the draw following receipt of this form by the lottery office, until cancelled by me in writing or until the termination of my employment with York Teaching Hospital NHS Foundation Trust. I acknowledge that I have read and understand the York Teaching Hospitals Foundation Trust staff lottery rules.*
Please note: The Finance Department deals with lottery applications on the 8th of every month. You will receive a confirmation letter with your lottery numbers and staff card shortly after this date.
* required fields
Click here to return to the main Staff Benefits menu.
A-Z of Services
Translate into: Arabic Chinese (Simplified) Chinese (Traditional) Italian Latvian Lithuanian Polish Punjabi Spanish Turkish Urdu View all languages >
Providing care together in York, Scarborough, Bridlington, Malton, Whitby, Selby and Easingwold communities
© 2018 York Teaching Hospital NHS Foundation Trust | Accessibility | Site map | Cookies policy
Website by See Green
York Teaching Hospital NHS Foundation Trust is registered, and therefore licensed to provide services, by the Care Quality Commission (Provider ID: 1-114394658). For more information, visit www.cqc.org.uk