Access Assessment Centres | Assessment Booking Form

To make an appointment for a needs assessment, please complete the form below and press submit. We will contact you within one working day to confirm a suitable date and time for your assessment.

Alternatively you can telephone us to make an appointment on 01604 798072 or email us: admin@accessacltd.com

Book Your Appointment

Your Details

Needs

Funding

Course

Equipment

Feedback

Your Details

First Name *

Surname *

Date of birth *

Pronouns *

Which do you identify with:

They, them

She, her

He, him

Telephone *

Mobile *

Email Address *

Your Address

First Line of Address *

Second Line of Address

Town/City

County

Postcode *

Select an Appointment

Preferred appointment type:*

Video call

Telephone

At the assessment centre in person, subject to availability.

Please select a centre, date, and appointment slot.

Select a Centre *

Choose a Date

Contact Me

to arrange an appointment
date and time

Funding body information

Who is the funding body? *

Student Finance England (SFE)

Student Finance Wales (SFW)

Scottish Awards Agency (SAAS)

Northern Ireland Education Library Board

Open University

NHS

Other funding body, please specify

Student CRN number

Are you happy for us to contact the funding body if needed?: *

Yes

Course details

University/College Name:*

Course *

Length of course in years *

Mode of study?: *

Full time

Part time

Level of study?: *

Undergraduate

Postgraduate

Are you happy for us to share information with the university disability service if needed?: *

Yes

Equipment Details

What equipment do you currently use for your studies (e.g. computer, tablet, printer, etc)? Please give the age of equipment. If you have a computer, please give the make, model, how much RAM and the processor type, this can be found under 'system' in the computer settings

How would you prefer we contact you?: *

Telephone

E-mail

Feedback

Is there anything else that you would like to make your assessor aware of that may be relevant to the assessment meeting?

Please tell us how you heard about the Access Assessment Centres Assessment Centre

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Assessment Booking Form

Book Your Appointment

Your Details

Your Address

Select an Appointment

Contact Me

Needs Details

Funding body information

Course details

Equipment Details

Feedback