STUDENTS New Student Form firstpage person call school person_raised_hand comment person_check Arranging your Support Before you start, please ensure you have the following information ready: Personal Details Contact Information (e.g., phone number, email address) University and Course Details Your DSA2 Funding letter Begin arrow_forward arrow_back Go Back Personal Details Please fill out this form to arrange your support. What is your Name? First Name Error Last Name Error Title (Optional) Title Mr Mrs Miss Ms Mx Dr Professor Prefer not to Specify What would you like to be called? Preferred Name (Optional) What is your Date of Birth? Day Month Year Date of Birth Age Error error Please enter a valid date. error Please enter an age over 16 years old. Continue to Contact Details arrow_forward arrow_back Go Back Contact Details How do you prefer to be contacted? We will use this method(s) to contact you. Please select all that apply. Email Phone Text Message Error What is the email we should contact you on? Your Contact Email Error What is your phone number? Phone Number Error Do you know which email address you have registered on your Student Finance account? Yes No Error Your Student Finance Email Error Do you know your Student University Email address? Yes No Error Your Student Email Error Continue to Course Details arrow_forward arrow_back Go Back Course Details Which University/College are you studying at? University/College If your university/college isn’t listed, please enter it manually. Error University Campus (Optional) What course are you studying? Course Name What is your Degree Type? Undergraduate Postgraduate Doctorate/PhD Error Are you studying Full Time or Part Time? Full Time Part Time Error Do you know your course start and end dates? Yes No Error Course Start Month Month January February March April May June July August September October November December Course Start Year Error Course End Month Month January February March April May June July August September October November December Course End Year Error Continue to Support arrow_forward arrow_back Go Back Support Have you received a funding letter (DSA2 Letter)? This is the letter which outlines the support you have been awarded. Click to view an example DSA2 letter Yes No Error Upload your DSA2 Letter here Please Note: You may upload multiple images or a single PDF document. You may upload files in any order. If you encounter any issues, please get in touch. upload Files Uploaded: 0 Remove All Files × close Close Please contact the disability team at your university or your Needs Assessor to obtain your Funding Letter. How would you like to access your support? (Optional) Face to Face Remote Hybrid Not Sure If you are unsure, someone from the team will contact you to arrange your support. What are your Needs Assessor’s details? Needs Assessment Company (Optional) Select a company Capita Study Tech DSA Other Please specify the Needs Assessment Company (Optional) Needs Assessor Name (Optional) Have you received a Needs Assessment Report? (Optional) This is the letter which outlines your support needs and recommendations. Please contact your Needs Assessment company to obtain your report. Click to view an example Needs Assessment Report Yes No Upload your Needs Assessment Report here Please Note: You may upload multiple images or a single PDF document. You may upload files in any order. If you encounter any issues, please get in touch. upload Files Uploaded: 0 Remove All Files × close Close Continue to Further Information arrow_forward arrow_back Go Back Further Information Do you want to provide any additional information? (Optional) Yes No Do you have any other information, requests, or questions in regard to your support? (Optional) Are you a British Sign Language User? (Optional) Yes No Do you want to add an additional contact? (Optional) Yes No What is their name? Title Error Title Mr Mrs Miss Ms Mx Dr Professor First Name Error Last Name Error What is their relationship to you? Relationship Error Relationship Parent Child Sibling Partner Legal Guardian Support Worker/Carer Friend Disability Advisor Other What are their contact details? Contact Email Phone Number + Add Another Contact Continue to Submission arrow_forward arrow_back Go Back Submission By submitting this form, you agree to our Terms and Conditions Yes No If you have any concerns, feel free to reach out to our team. We are here to discuss and answer any questions you may have. Submit check This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submission not Successful sentiment_neutral Unfortunately, your submission has not been received. Please check your network and try again. Alternatively, click here to send your information by email to info@asc-support.com Try Again Success! check_circle Thank you for your submission A member of our team will be in contact with you shortly to arrange your support. Return to Home Page Need help? info@asc-support.com
