QUESTION 1 Do you wish to give any information in relation to a disability? YES NO If you answered YES please feel free to give details below and answer Question 2. QUESTION 2 Are there any reasonable adjustments which you would want us to consider in your situation? YES NO NAME: (BLOCK LETTERS) DATE:
QUESTION 1 Do you wish to give any information in relation to a disability? YES NO If you answered YES please feel free to give details below and answer Question 2. QUESTION 2 Are there any reasonable adjustments which you would want us to consider in your situation? YES NO NAME: (BLOCK LETTERS) DATE:
Application-form-Psychology-July-2018-1.docx