Arrange DSA Support

If you prefer to contact us via email, please email admin@onyxstudents.com or call 01604 713103.

Click here to see an example Needs Assessment Report

Click here to see an example DSA2 Funding Letter

First name

Last name

Preferred name

Pronouns

Date of Birth required

Phone

Course End Date required

Course and Course Type

University/College Campus

Name of Assessment Centre

If you have selected in-person support, please specify the location where you would like your sessions to take place (please note that a risk assessment will be required for home/accommodation visits).

Evidence of Funding Letter (e.g. DSA2) If you are unsure, see the example document at the top of this page.

Upload File

Upload supported file (Max 15MB)

Needs Assessment: If you would like us to know more in detail of your diagnosis and the recommendations from your needs assessment, please upload your needs assessment report here.

Upload File

Upload supported file (Max 15MB)

Is there anything else you feel we should know, before we match you a support worker?

Consent

Under General Data Protection Regulations (GDPR), we (Onyx Student Support Ltd) are required to obtain your consent to process and share certain categories of your personal data. If you would like to change your consent choices at any time through emailing admin@onyxstudents.com.

Please leave blank if you do not wish to consent.

I consent to Onyx Student Support providing my higher education provider with a quarterly summary report should my higher education provider request Onyx Student Support to do so. The purpose of this data being shared would be to allow your HEP to monitor the support we are providing to you.View Consent to Share Summary Reports

I consent to Onyx Student Support sharing the following information with the Department for Education (DfE): my name, support role, Higher Education Provider (HEP), and course information. This information will only be shared for the purpose of enabling the DfE to audit the support provided to me.View Consent to Share Data for Audit

I consent to Onyx Student Support storing my Needs Assessment Report so that I can receive tailored support. I understand this is classed as special category (sensitive) personal data under the UK GDPR. This information will be used only to enable Onyx Student Support to provide appropriate support workers and deliver the right support to me, and it will not be shared with anyone else. I understand that I do not have to give consent and that I can withdraw my consent at any time.View Consent to Provide Needs Assessment Report

I consent to Onyx Student Support sharing any wellbeing concerns they become aware of with my Higher Education Provider (HEP). This information will be shared for the purpose of enabling my HEP to take any action they consider appropriate to support my wellbeing and help keep me safe.

I have read and agree to the Privacy Notice. If I have any questions I can email admin@onyxstudents.comView Privacy Notice

I have read and agree to the student handbook. View Student Handbook

I have read and agreed to the student cancellation policy. View Student Cancellation Policy

Your Signature

Arrange DSA Support

If you prefer to contact us via email, please email admin@onyxstudents.com or call 01604 713103. Click here to see an example Needs Assessment Report

Click here to see an example DSA2 Funding Letter

Consent

If you prefer to contact us via email, please email admin@onyxstudents.com or call 01604 713103.

Click here to see an example Needs Assessment Report