Apply for a Needs Assessment

To request a 'needs assessment' please complete the online form below.

We will contact you shortly afterwards to offer suitable dates and times.

Alternatively, if you would prefer to call us on 01522 886400, we will be happy take your details over the telephone.

All information you provide will be held in strict confidence.
You do not have to complete all the questions, but please ensure that you at least provide us with your name and contact details.

Your contact details

First Name:

Surname:

Date of Birth (dd/mm/yyyy):

E-mail Address:

Home Address:

Home Telephone Number:

Mobile Telephone Number:

Term-time Address: (if different from your Home Address)

About your disability and local authority

Has your Funding Body already agreed to you having an Assessment of Needs?

Yes
No
Not Sure

What is your disability or medical condition? (If more than one, please list them all.)

About your chosen course / university

What is the name of your chosen University?

What is the name of your chosen course?

What year did you, or will you, first enrol on your chosen course?

Please use this box to include ANY other information you would like to add.

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Student Comment:

You deserve to share my happiness at my degree results!
I would also like to say thanks to the whole team. You deserve much praise for your quiet and sensitive support which enables students like myself to continue studying ...so I very deeply appreciate the help I have received.
Tricia King, University of Lincoln

National Network of Assessment Centres member

The National Network of Assessment Centres is a UK-wide network of specialist services that work together to facilitate access for disabled people to education, training, employment and personal development.

Visit the NNAC website

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