• Student Support and Wellbeing Registration Form

  • Pronoun
  • Are you a Higher and Degree Apprenticeship student?
  • Are you a Care Leaver?*
  • Are you an International Student?*
  • Will you be newly joining the University in September 2026?*
  • Do you require a wheelchair accessible meeting room?*
  • Do you require a BSL interpreter for your meeting?*
  • Date of birth
     / /
  • I would like to seek support as a Care Leaver
  • If applicable, I have notified the University of Kent of my disability/specific learning difficulty/mental health difficulty or medical condition via UCAS or in my PG application:*
  • If you would also like to seek support for any of the following reasons, please tick all those that apply:*
  • If AD(H)D, is this diagnosed?
  • AD(H)D referral*
  • Autism Assessment referral*
  • In order for Student Support and Wellbeing to help with the planning of your support at the University of Kent, where relevant you may be asked to provide medical evidence in the form of a doctor’s letter or a consultant’s letter, or if you have a Specific Learning Difficulty e.g. dyslexia, please provide an Educational Psychologist’s Report or a Specialist Teacher’s Assessment Report as evidence of this. (Where necessary, this evidence needs to be formally translated into English)

    Consent

    Please read the Student Support and Wellbeing Privacy Notice and confirm your consent by ticking below:

  • Date*
     - -
  • Should be Empty: