Please provide the following information about yourself:

I give my consent to the Student Counselling and Advisory Service holding information confidentially about me and about my attendance.

The service also gathers other information on students attending the service, such as ethnic group or accommodation, from the student Websurf system, for statistical purposes.

By submitting this form to the University electronically, you should note that in the absence of your signature, the electronic submission of this form constitutes your signature.