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    Student Support

    Learner Support Registration

    Please complete this form if you:

    • wish to share disability and medical information with the University.
    • have previously received additional exam arrangements, including extra time.
    • require a free screening test for specific learning differences, including for dyslexia.
    • would like to discuss support at university.

    We encourage you to share information as soon as possible if you wish to discuss/access support at University.


    For further information please contact:

    Learner Support

    Personal details

    * Number stated on student correspondence from Harper Adams University

    Support needs

    Please tick if any of the following apply so that the University can contact you to discuss any support needs that you may require during your course:

    Note: previous exam arrangements including extra time do not automatically transfer over from school/college - implementation at university will need to be approved and is subject to appropriate evidence.

    Disabled Students' Allowance

    Have you applied for Disabled Students' Allowance?

    Supporting evidence

    In order to consider support, it is important we have copies of relevant evidence on file.

    If applicable, please upload evidence of your disability/specific learning difficulty to this form (for example, medical certificate, psychological/diagnostic assessment) and any associated assessments/exam arrangement information (for example, needs assessment/JCQ access arrangements).

    You can upload up to three documents in PDF or JPEG format:

    File sharing

    You can also email documents to - we recommend you use a file sharing service, such as DropBox or OneDrive, to share your documents securely with us.

    University disclosure

    The information provided on this form will be dealt with in the strictest confidence and will only be used by the University. Information is not shared with any third party or disclosed externally. It is beneficial to the applicant for the University to be aware of any disability or specific learning difficulty that you have. We can then provide appropriate support. We only notify staff who need to know of your disability/specific learning difficulty.

    Please select the relevant consent box:

    **Note: our ability to provide you with relevant support will be restricted if you do not consent.

    Privacy notice

    Under GDPR and Data Protection Act 2018 you have rights in relation to your data. You have the right of access, rectification, erasure, and restriction on processing. To find out more about your rights or how your data is used contact the data protection officer on

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