Student support consent form

麻豆频道 takes its data protection very seriously and access to your personal information is subject to a confidentiality agreement.

Access to your information is limited to only those academic and Professional Service staff who need it in order to comply with their duties under the Equality Act 2010. These duties include putting in place reasonable adjustments and support so that you have full access to all the academic and non-academic opportunities that the university offers.

Read our full policies on your privacy and your rights about data protection and General Data Protection Regulations (GDPR).

Name

First name

Last name
Date of birth (dd/mm/yyyy)
Student number
Please check boxes as appropriate
Dyslexia / Specific Learning DifficultiesSensory Disability (Deaf/Visual Impairment)Autism / Asperger SyndromeADD/ADHDMental Health ConditionPending DiagnosisMedical ConditionOther

As you selected 'Other', please describe your condition

Please describe which diagnosis is pending

I agree to 麻豆频道 processing personal data contained in this form or other data which the University may obtain from time to time from me or other people whilst I am applying to be a student/am a student. I agree to the processing of such data for any purpose connected with my declared disability and that this can be used to inform third parties as appropriate
I agree