Personal Information

Contact Details

University and Course Details

Request for Support

Documents

Consent

Personal Information

Contact Details


University and Course Details


Request for Support

Please indicate if you have a particular day or time when you would like the support to take place.

Please tell us the name of the company or university who conducted your DSA study needs assessment.

Funding Evidence

Upload Evidence *

Please attach the letter from your funding body which shows the type of support you have been approved and that Clear Links is the provider.

Do not attach medical evidence or needs assessments.

Maximum file size is 10MB

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.

Please select the most appropriate option(s) from the list below:

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.

By clicking the submit button below, I confirm on 30 October 2024 that I am happy for Clear Links to process my data in line with my consent choices made above.