Access SUMMIT – Joint Universities Disability Resource Centre
St Peter’s House, Precinct Centre,
Oxford Road, Manchester, M13 9GH
Tel: 0161 275 0990 / Fax: 0161 275 0991 / SMS: 07786 854107
Email: firstname.lastname@example.org / Web: www.access-summit.org.uk
Dear Sir / Madam
Before arranging a date for an Assessment, we need the following:
1. A completed Data Protection Form
2. A completed Assessment Referral Form
3. Copies of any correspondence you have from your Funding Body relating to
the DSA particularly any correspondence giving their approval to fund the
Assessment of Need.
4. Medical evidence of your disability (or an educational psychologist’s
report if you have a specific learning difficulty such as dyslexia).
For more information about The Disabled Students Allowances and the Assessment process see
When we have received this information we will contact you to make an appointment.
1. Data Protection
Date of Birth:
Notification under the Data Protection Act - Consent to information regarding disability being held on manual and electronic files and disclosures of this information to relevant personnel.
Your consent is requested for the following details and documentation to be held manually
and electronically, as appropriate, by Access SUMMIT.
Your psychological report / medical Signed:
evidence provided to us to establish the
nature of your disability:
Your Assessment Report produced Signed:
following your Study Aids and Strategies
Assessment of Needs:
Your consent is also requested for relevant details being disclosed, to persons having a
need to see them in the course of their work relating to the meeting of your needs, including
Access SUMMIT staff - Signed:
University departmental staff Signed:
Your University’s Disability Office Signed:
Your Funding Body - Signed:
Date completed: …………………………………………..
2. Assessment Referral Form
Your Contact Details
Term time address (if different)
Email Date of Birth
Name of your LEA / Funding Body
A Contact Name :
Telephone no(s) Fax:
Have you made an application for The Disabled Students Allowances?
College / University Name: Faculty / School / Department: Course of Study:
College or University Disability Support
Service Details – Address/Phone No/Email:
Information Technology - Please tell us as much as you know about the IT resources
used on your course
Hardware - PC / Mac?
DTP / Graphics?
Course delivery - Please tell us as much as you know about the way in which your
course is / will be delivered
How do you expect to be taught? Yes / No Any further details - number of
Labs / Practicals
Field trips, visits
Other – please specify:
How do you expect to be Yes / No Any further details – numbers /
assessed? length etc
Oral / presentations
Lab / practical reports
Other please specify
Your Needs - please tell us about what additional needs you have or will have as a
consequence of your disability on your course
Please tell us about any support you have received previously to support your needs Assistive Technology / IT including
hardware and software and your access
methods (i.e. keyboard / mouse/ rollerball
/on-screen keyboard/ switch):
Human / personal support:
Is there anyone who we may contact (e.g. member of staff at your previous establishment or someone who has supported you in the past) who will be able to tell us more about your particular difficulties in relation to studying? If so please give names and contact details (tel no / e-mail) here…
Please tell us about the kind of equipment and support you feel that you may need on your intended / current course in Higher Education and the ways in which these resources will be helpful to you
Support type Yes/No Please give reasons
I will need additional support in the
library (extended loan period,
electronic access to information etc.) –
please give details…
I will need copies of material in
alternative formats – please give
I will need assistive technology
resources (eg computer equipment
including specialist software /
ergonomic aids / magnifiers) – please
I will need alternative arrangements for examinations and assessments – please give details…
I will need / will require personal assistant/s (eg British Sign Language (BSL) interpreter, note-taker, dyslexia support etc) – please give details…
Access SUMMIT assessments are usually conducted on a one-to-one
basis, but arrangements can be made
to accommodate someone accompanying you. If you would like to
bring someone to your assessment
appointment, please give some details:
Do you use any mobility or posture aids? (e.g. electric or manual wheelchair, stick, guide dog, cane, ergonomic equipment). Please give details.
Will we need to make any special parking arrangements for you?
Thank-you…also please remember to send us:
3. Copies of any correspondence you have from your Funding Body relating to the
DSA particularly any correspondence regarding the funding body’s agreement to
fund the Assessment of Need.
4. A copy of medical evidence describing your disability (or an educational
psychologist’s report if you have a specific learning difficulty such as dyslexia)
Please send all information together to:
St Peter’s House, Precinct Centre,
Oxford Road, Manchester, M13 9GH
Or Fax to: 0161 275 0991
Or email to email@example.com
If you have any queries, please contact The Centre on 0161 275 0999.
Things that you need to know about an
Assessment of Needs Appointment at Access SUMMIT
1. The appointment is likely to take between 1 and 2.5 hours
2. While this appointment is called an assessment, it is not a test and will not
require you to pass anything. Instead, it is a discussion with someone who is
experienced in identifying appropriate provision, resources and strategies for you
to use in relation to the particular difficulties you experience on your course.
3. Many students feel that computer technology would be useful to them. However,
there are particular restrictions applying to these and both Access SUMMIT and
your funding body have to follow strict guidelines from the government
(Department for Education and Skills) which sets out the circumstances in which
they may be recommended. All recommendations made must be directly
associated with a difficulty you have as a consequence of your disability. In a
number of cases this means that we are unable to recommend all the resources
you feel would be useful.
4. However, if this is the case, many funding bodies will allow you to add your own
funds to that money they are able to make available to allow you to purchase
additional or alternative equipment. For example: it may not have been possible
to recommend a laptop PC and so a desktop was recommended and your
funding body has approved this, but you would still prefer a laptop. Your LEA
may allow you to pay the difference to the supplier to allow you to get a laptop
5. It will be helpful if, before the Assessment appointment, you think carefully about
the particular difficulties you are experiencing and the possible ways in which
these could be addressed. You might find it helpful to think about what has and
has not worked for you in the past. The assessor’s job will be to consider how
these difficulties can be addressed through the use of The DSA given those
limitations which do apply.
6. We may have sent a Further Details Request Form to fill in and send back to us.
If we have, it is simply to help us decide which Assessor will be best for you to
see and to give us some idea about the kinds of things you might need.
7. During the Assessment appointment you may be given the opportunity to try out
various resources. The assessor will need to write some notes to help with
writing the report. Some assessors may type these notes directly into a PC.
8. When you first arrive for your appointment we may need to check out some
details with you. We may have other Assessment appointments organised so
will need to ask you to wait while we get everyone sorted out.