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Applicant access and support requirements

Use this form if you are applying to 51³Ô¹ÏÍøºÚÁÏ and want to make the Disability Service aware of your needs.

Primary page content

Once you have completed the questionnaire, the information will go to Disability Service. We may contact you to ask for more information.

If you would like to provide this information in an alternative format, please contact .

Applicant access and support requirements

Required information (*)

Section 1 of 4: Personal details

Level of study
Status

Section 2 of 4: About your disability

e.g. extra time for exams, study skills support, note taker, sign language interpreter, support worker, etc
Would you require assistance to exit the 51³Ô¹ÏÍøºÚÁÏ premises in an emergency?
e.g. if you have severe visual impairment, difficulties in using stairs or hearing alarms, etc
Do you have any disability or health related requirements for 51³Ô¹ÏÍøºÚÁÏ accommodation?
If you are not applying for accommodation, please select no

Please note that if you have any disability or health related requirements you are advised to apply for accommodation as soon as possible so we can attempt to meet your accommodation needs. Find out how to apply for accommodation.

Section 3 of 4: Disabled Students' Allowance

The Disabled Students' Allowance (DSA) provides additional support to cover disability related costs of study.

This fund is administered by Student Finance England. We strongly recommend you apply. Read our pages on the DSA or visit to find out more.

Section 4 of 4: Declaration

Please read the declaration below:

I note that the information I have provided will be used to help assess my needs for support and adjustments whilst on a programme of study at 51³Ô¹ÏÍøºÚÁÏ. This will involve sharing information about my disability with relevant staff. None of the information provided here will be used in the selection process and if I have disability-related needs that need to be taken into consideration in the application process I must contact the admissions team separately about this.

Read our Data Protection and Confidentiality Statement to understand how we will use what you send us.

To confirm your agreement to this, press send below.

Data protection and confidentiality

We will store and use the information you send in order to provide our service to you. We will only contact you in relation to this enquiry. Read our Privacy Notice to understand how we will use what you send us.