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If you have any difficulty completing this form you can email us at or phone +44 (0)207 514 6156.

Privacy Notice – SPLD Screening Appointment 

UAL’s Student Disability Service process your name and contact details with your consent in order to set up an initial screening appointment with you and  a member of our Specialist Study Support Team.   

This data is held temporarily on JISC Online Surveys before being stored within disability service database alongside notes from your appointment for 1 year after you leave the University unless you tell us you withdraw consent beforehand, in which case it will be deleted within 30 days. 

We will not share any of the information that you provide in your appointment with other teams or organisations (including family) without asking you for explicit permission first, other than in circumstances permitted by data protection law. 

You can find more information about UAL and your privacy rights at 

10.10. Have you previously had an assessment for dyslexia or other specific learning difference? Required