Additional Requirements Form

Please complete all relevant fields. This form only needs completing if you require any additional support during your time with LJMU.

Please note that you must provide an email address in order for your form to be processed. This will also be used to send you a copy of your submitted form.

Section A

Please complete all details.

 Forename(s)

 Surname

 Your email address (must be entered)

 UCAS or GTTR number (enter LJMU if you have applied directly to us)

 Course(s) applied for

Are you:

Attending for an interview
Attending a dance audition
Attending an Applicant Day
Sitting a GCSE Equivalence Test
None of the above, I've been made an offer

Section B

Will you require any learning support either during your interview / audition or while on the course?

Yes No

If yes, please detail any support required:

Please detail any other support or additional requirements you will need: