Advice Online Form

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Advice Case Information Form

Is this an emergency?

In case of an emergency click on the link below for a list of support services available:

https://www.kcl.ac.uk/counselling/crisis-support

Your contact details

Kindly note: if you are not using Chrome, Firefox, Safari, Edge or any of the other major web browsers, this form may not work. Internet Explorer is also incompatible. Please email the team if in doubt.

Question marked with a ^* are required.

1. Your FIRST name:^*

1. Your LAST name:^*

2. K number:^*

3. Study Type^*

4. Faculty^*

5. Department ^*

6. Contact telephone no:^*

7. KCL email address:^*

8. Please confirm if you’re aged over 18/under 18:^*

Case details

9a. Academic issue:^*

9b. Non-academic issue or other academic issue:

10. Key date(s) & time(s)^* This includes dates such as Appeal/MCR/Complaint deadlines, dates & times of Hearings, any other meetings, etc.

11. Brief details:

OPTIONAL Additional information about you

12. Do you consider yourself to have a physical or mental disability, or long term health condition?

13a. Access needs/additional support?

13b. If yes, what help is needed?

14a. What gender do you define to?

14b. Pronouns:

15. Ethnicity

Information which we need from you to help you with your case

We’ve asked you for some essential information(questions 1 - 8). We’ll also look up other essential information on your study status from information which we get from the University. This helps us to give you the most accurate advice. We’ll store this information on our secure case management system.

KCLSU Advice Service Privacy Statement

If you have any questions or want further details about how we look after your information please read our Advice Privacy Policy .

Consent to Store and Process Information

To comply with the General Data Protection Regulations (GDPR) we must ask for your permission to store and use the information that you’ve provide in questions 12 - 15. Sometimes we may need this information to help us advise you. We’ll also use this information to monitor our service provision, and make sure that our advice is accessible to all our students. Information that is used for equality and monitoring is anonymous statistics only. Your name, student number or any identifying information about your enquiry will never be associated with our monitoring data, and will never be used without your permission.

After reading the above, do you give your consent to Kings College London Student Union Advice Service to process and store information from questions 12 - 15?

Do you give consent

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