Reasonable adjustments form

Reasonable adjustments request form

"*" indicates required fields

Please read our Reasonable Adjustments Policy and complete this form as fully as possible. Alternatively, if you’d feel more comfortable discussing your needs with us over the phone, please call us on 0161 231 4499.
Learner name*
Please provide the best phone number to contact you on should we need to discuss reasonable adjustments further.
DD slash MM slash YYYY
e.g. access, communication, health, learning needs
e.g. alternative formats, physical access, additional time, quiet space
e.g. triggers, language, types of activity