Please use this booking form to request a contact from the De Montfort Students' Union Advice & Wellbeing team. 

Please allow up to 72 hours for your booking form to be received (not including weekends). 
 

First Name / Given Name

Last Name / Surname

Date of Birth (dd/mm/yyy)

P Number

Phone Number

Email Address

Course Title

Year of Study

Faculty
CEM - Computing, Engineering & MeidaBAL - Business & LawHLS - Health & Life SciencesADH - Art, Design & Humanities

Institution
DMUICDMU

Mode of Study
ProspectiveDistance LearningPart TimeFull Time

Academic Status
Non-StudentWithdrawnGraduatedPostgraduateUndergraduate

Immigration Status
InternationalEUHome

What do you need help with?

By completing and submitting this form, I consent that my data can be used and stored, in accordance to the student data privacy statement, by DSU for the purposes stated below:

• I am aware that the Code of Practice, Feedback and Confidentiality Policy, and Exceptions to Confidentiality are all available on the DSU website or by request prior / during / after my appointment.

• I understand DSU Advice will process my data in accordance with all relevant Data Protection requirements.

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

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

• I give explicit consent for DSU Advice to contact all relevant parties and share data about me to assist with the management of my case.

• I give explicit consent for relevant external parties to share my data with DSU along with all relevant information that may be required to assist my case.

• I give consent for DSU Advice to send an SMS reminder prior to my appointment.