The purpose of the DSA study Needs Assessment is to determine what difficulties you may face with your study due to your disability and to consider what support can be provided to overcome those difficulties. In order to get the best outcome from this assessment, we must have some information in advance. This will enable us to do any prior research needed, so that we can consider the full range of support available. You must submit the following to
AccessCentral before your appointment:
This form completed in full.
A copy of your
Medical Evidence – the information you sent to your funding body eg a doctor's letter, a dyslexia diagnostic report or other document. A copy of the letter you have received from your funding body asking you to arrange a Study Needs Assessment,
Please complete ALL sections or write NONE.
Disabilties or medical conditions that have been accepted by your funding body (as shown on the letter from your funding body):
What are the main disability related difficulties that you experience when studying?
1. Details of any support you have received previously (eg extra time, learning support assistant):
2. What type of support has been most helpful to you in your studies previously?
3. Detail and list below equipment you already own that you can use for your studies.
DO NOT list any equipment shared with your family or another person. Give full details of model, specification and date of purchase any extended warranty cover in place. If you do not have any equipment state NONE:
Please bring any mobile/tablet equipment you use to your assessment.
4. Do you currently use any other assistive technology or software?
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If yes, please provide details below:
5. If you have been previously assessed for DSA support, please give the date and details of what was provided. Please attach a copy of the report, if available:
6. Please provide any other information that you feel is relevant:
Now, please read and sign the declaration below.
We will not disclose your identity to your University / College without your permission. However, it may be helpful for us to contact your Disability Officer / Course Leader for information regarding your course and the support already available. Do you give your permission for us to contact staff at your University should the need arise?
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We may wish to observe the assessor undertaking your assessment. This is to help us to monitor the services we provide and to help us to ensure that our staff are appropriately trained and offering the high quality service we wish to provide for you, our customer. If appropriate, do you agree for your assessment to be observed?
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I confirm that the information provided above is correct and I understand that it is my responsibility to provide all relevant information to AccessCentral before and during the assessment.