Student Support Unit & Housing Office
Request for Continuation of Housing Arrangements
(Reasonable Adjustment)
To: studentsupport@sussex.ac.uk
Cc:
Student’s Name: Click to enter
School: Select from list
Programme: Click to enter
Candidate No: Click to enter
Year of course: Select from list
Registered Disability (Equality Act 2010): Select from list
Reason for Reasonable Adjustment Request: Click to enter
Would you be able to live independently in off-campus accommodation: Choose an item.
Type of room preferred/requested:
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Notes:
On Campus
Off Campus
Standard
En-suite
Quiet
Single gender
Mature
High floor
Low floor
Residence preference
Room number
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Do you have additional support needs that the Housing Office needs to be aware of?
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Additional information
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Signature of applicant:
NB: If a Reasonable Adjustment for Housing is supported, the Housing Office will allocate
accommodation following checking of student account and any incidents in residence to ensure
acceptability, which may include checking with colleagues from across the University.
Office Use…
Additional information
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Student Support Unit & Housing Office
Supporting evidence: On SSU file
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Requested by: Choose an item.
Position: Select from list
Date: Select date
If further information is required, please contact the SSU on Ext 7466.