Advice Enquiry Form 24/25

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Are you a student of the University of Central Lancashire (Or at one of it's partnership colleges)

Are you a student of the University of Central Lancashire (Or at one of it's partnership colleges) Yes No
Do you have any long term health issues or disabilities that might mean you find accessing the advice service difficult?

Do you have any long term health issues or disabilities that might mean you find accessing the advice service difficult? Yes No Rather Not Say

We want to ensure that our service is inclusive of those with disabilities and health conditions
Do you require any reasonable adjustments from the service?

By reasonable adjustments, we mean any changes in our approach or provision which ensures you receive the same services, as far as this is possible, as someone who doesn't have any health conditions and/or is not disabled
Would you like us to help a student you know?

As a registered charity, UCLan Students' Union can only offer advice to the beneficiaries of the charity; Students registered with UCLan. As this form will also require the student to sign a service agreement it must be completed by the student themselves.

If you are worried about a student, please leave their details below and we will get in touch with them; letting them know you've asked us to reach out.
Student's Email
Student's Name Student's Name First Last
Your Name Your Name First Last