Applicant access and support requirements Use this form if you are applying to 樱桃视频 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 * Full name * Email address * Contact phone number Student reference number Level of study None Undergraduate Postgraduate taught (Masters) Postgraduate research (PhD) Other Status None UK EU International Programme / course name * Year of entry Section 2 of 4: About your disability * Please describe your health condition, mental health, disability or specific learning difficulty Please tell us about any specific support or adjustments you feel you might need from Goldsmiths e.g. extra time for exams, study skills support, note taker, sign language interpreter, support worker, etc Would you require assistance to exit the Goldsmiths premises in an emergency? e.g. if you have severe visual impairment, difficulties in using stairs or hearing alarms, etc None Yes No Do you have any disability or health related requirements for 樱桃视频 accommodation? If you are not applying for accommodation, please select no None Yes 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. Is there any other information you feel would be helpful for us to be aware of? 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 Goldsmiths. 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. Leave blank Keep this field empty