HE Special Consideration Application Form

HE Special Consideration Application Form
Before completing this form you should read the HE Special Consideration policy. If you have any queries please contact the appropriate team.
- Full-time Undergraduate Programmes: email hesupport@.walbrook.ac.uk
- Postgraduate Programmes: email pgonline@walbrook.ac.uk
- Apprenticeship Programmes: email apprenticeships@walbrook.ac.uk
- Online and blended programmes excluding MSc Banking & Finance online programmes- assessments-office@walbrook.ac.uk

Evidence
Please confirm what evidence you are providing to support your claim

Medical appointment / Health certificateDeath CertificateLetter (on headed paper) of support / explanation from a Line Manager / HR at place of employment.Letter from GP / Medical practitioner, relevant to the circumstances of your applicationOther
Evidence Upload

Cancelof
If evidence is to follow or cannot be provided, please explain why
If your application is successful what would be your preferred outcome?*

Your Personal Data
We will use and protect your personal data in accordance with current data protection legislation to evaluate your claim. Further details, including your rights, the disclosure of data to third parties, storage, retention and how to amend your personal data, can be found within our Privacy Notice.

Declaration
Declaration*

I declare that the information contained in this form is true and accurate and consent to the processing and use of personal data as outlined in the Privacy Notice.I confirm that by completing and submitting this form and associated evidence, I give consent to the processing and secure storing of the evidence provided.I confirm that I have read and understood the Special Consideration Policy.
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