Disability / Special Medical Needs Do you have a disability or Yes medical condition including a No chronic health condition, mental health condition or specific learning difficulty such as dyslexia? (If no, please go directly to Section D). Please provide details and include copies of medical evidence with your application: Have you applied for Disabled Yes Students’ Allowance (DSA)? No If you answered please explain ‘no’, why not: Were you awarded any DSA Yes Funding? No If you answered please ‘yes’ provide details of what you are entitled to as well as a copy of your needs assessment and DSA funding confirmation letter. If you answered please provide ‘no’ details as to why you are not eligible: If you require access to support or equipment not funded by the DSA please provide details below of what you need funding support for. Include details of cost and why you need this for your course. (Please speak with the Student Support Manager if you need help filling out this section or sourcing quotes for equipment or other support).
Disability / Special Medical Needs Do you have a disability or medical condition including a chronic health condition, mental health condition or specific learning difficulty such as dyslexia? (If no, please go directly to Section D). Yes No Please provide details and include copies of medical evidence with your application: Have you applied for Disabled Students’ Allowance (DSA)? Yes No If you answered ‘no’, please explain why not: Were you awarded any DSA Funding? Yes No If you answered ‘yes’ please provide details of what you are entitled to as well as a copy of your needs assessment and DSA funding confirmation letter. If you answered ‘no’ please provide details as to why you are not eligible: If you require access to support or equipment not funded by the DSA please provide details below of what you need funding support for. Include details of cost and why you need this for your course. (Please speak with the Student Support Manager if you need help filling out this section or sourcing quotes for equipment or other support).
UCO%20ALF%20ApplicationForm%202018-19.docx