Please use this booking form to request a contact from the De Montfort Students' Union Advice & Wellbeing team. 

Please allow up to 72 hours for your booking form to be received (not including weekends). Responses may exceed the 72 hours processing time over the Freshers period, please bear with us at this busy time of year.
 

First Name / Given Name

Last Name / Surname

Date of Birth (dd/mm/yyy)

P Number

Phone Number

Email Address

Course Title

Year of Study

Faculty
CEM - Computing, Engineering & MeidaBAL - Business & LawHLS - Health & Life SciencesADH - Art, Design & Humanities

Institution
DMUICDMU

Mode of Study
ProspectiveDistance LearningPart TimeFull Time

Academic Status
Non-StudentWithdrawnGraduatedPostgraduateUndergraduate

Immigration Status
InternationalEUHome

What do you need help with?

By completing and submitting this form, I consent that my data can be used and stored, in accordance to the student data privacy statement, by DSU for the purposes stated below:

• I am aware that the Code of Practice, Feedback and Confidentiality Policy, and Exceptions to Confidentiality are all available on the DSU website or by request prior / during / after my appointment.

• I understand DSU Advice will process my data in accordance with all relevant Data Protection requirements.

• I give consent for my case to be audited by relevant external bodies, including AQS.

• I give consent for DSU Advice to contact me for feedback about the service.

• I give explicit consent for DSU Advice to contact all relevant parties and share data about me to assist with the management of my case.

• I give explicit consent for relevant external parties to share my data with DSU along with all relevant information that may be required to assist my case.

• I give consent for DSU Advice to send an SMS reminder prior to my appointment.