Consent Form

Consent Form 

Please complete the below to best help the advice team to support and act on your behalf with regards to your advice appointment.  

About You

Name:                   
Course Title:         
Contact Number:  
Email Address:     
Mode of Study:     
Academic Status: 
Fee Status:           
Disability:              
Ethnicity:              

 I have been given the code of practice prior to my appointment and understand the complaints, feedback and confidentiality policy, and exceptions to confidentiality.
 

 I have been informed that DSU Advice processes my data in accordance with all relevant Data Protection requirements.  I have been made aware of DSU Advice’s Privacy Notice.

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

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

 I give consent DSU to use my case outcome anonymously to publicise the service.

 I give consent for DSU Advice to contact all relevant third parties to assist with my case.

 

 

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Further Information
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De Montfort Students' Union The Campus Centre Mill Lane Leicester LE2 7DR
De Montfort Students' Union | Charity Number:1138587