Student Support Team – Induction Questionnaire Name* First Last Email* Course you're studying* Have you been granted exam concessions e.g. scribe, reader, extra time separate room?*YesNoWho do you live with?* Do you have any caring responsibilities e.g. parents, siblings, children?*YesNoDo you receive any support from outside agencies? Please tick: Social Worker CAMHS Youth Offending Team/Probation Service Adult Mental Health Services Drug or Alcohol Support Carers Support Bereavement Support Housing Aid Transgender Support Other (please state) If other, please state Would you like to receive advice/guidance about the next steps (employment, university, further courses etc.) whilst at Confetti?*YesNoWe want to meet the diverse needs of our student cohort, and would like to know whether you need support or are interested in joining a forum or group related to the following protected characteristics? (you can tick more than one) Age Race Disability Gender reassignment Pregnancy and maternity Religion or belief Sex Sexual orientation Would any of the following interest you in regards to the above protected characteristics? Support with the above Groups or forums relating to them Have any of the below previously affected your ability to study? Please tick: Health Self-harm Domestic violence Financial issues Mental Health Exclusion Caring responsibilities Anger management Drug/alcohol misuse Other (please state) If other, please state We use the information you provide for the purpose of support. The Student Services team collate information provided by individuals, which will then be shared with other members of staff within education (where appropriate) such as Additional Learning support and tutors. As a result of the disclosures made in this questionnaire, you may be contacted with an offer of support. Full details are available in our privacy policy.
