Clear Links

Request Support

Before we can make arrangements for your support we need to see a copy of your DSA funding letter. You can take a photograph or scan your funding letter and attach it in the funding evidence section at the bottom of this form.

Please read our Privacy Notice which provides accessible information about our use of your personal data. It is important that you read this so that you are fully aware of how and why we are using your data and your rights over this data.

Fields with an asterisk are required to be completed.

Personal Information
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Contact Details
 
 
Preferred contact method *
University and Course Details
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Request for Support

Support can usually take place at your university or college. Alternatively, support can also take place in a suitable public location. We are unable to provide support in students' homes.

Please indicate if you have a preference for the location of your support or where you will require the support if you are to be supported at a location away from your university or college.

Funding Evidence *

Please note that Clear Links can only put support in place which has been approved by the funder. Clear Links must have seen confirmation of the funding before the first session is booked. Please attach a copy of the funding evidence below.

Please click the Attach button to select a file.
Timetable
If the support required is timetabled for specific times of the week, please attach a timetable.
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Consent *
The General Data Protection Regulations (GDPR) require that we (Clear Links Support Ltd, The Portergate Building, Ecclesall Road, Sheffield, S11 8NX, 0114 278 6866, info@clear-links.co.uk) obtain your consent to process and share certain categories of your personal data.

Please note: you can change your consent choices, at any time, through Crystal.

Do you consent to Clear Links sharing your support plans, session records and reviews with your Higher Education Provider (HEP)? The data would be shared to allow your HEP to monitor the support we are providing to you.
 
Do you consent to Clear Links sharing any wellbeing concerns we become aware of with your Higher Education Provider (HEP)? The data would be shared to allow your HEP to take any actions they felt appropriate.
 
Do you consent to Clear Links processing information about your disability? This is classed as special category/sensitive data by the GDPR. This data will only be processed for the purposes of providing appropriate support workers to you and will not be shared with anyone else.
 
Do you consent to Clear Links sharing information about your disability with your support worker(s)? This is classed as special category/sensitive data by the GDPR. This data would only be shared to allow the support worker(s) to deliver the appropriate support to you.
 
Do you consent to Clear Links sharing the following data: your name, support role, HEP and course information with the Disabled Students’ Allowances Quality Assurance Group (the sector audit body). This data would only be shared to allow DSA-QAG to audit the support we provide to you.
 
By clicking the submit button below, I confirm on 23 January 2019 that I am happy for Clear Links to process my data in line with my consent choices made above.