Greensville Trust

The Greensville Trust is committed to equality of opportunity and aims to provide an inclusive learning environment for students with special needs or disabilities. To help us best support you, please provide as much information as you can on your particular needs.

If you have a disability, please give details of any medical conditions, disabilities or allergies that require attention or notification and any prescribed medication taken regularly (this will not affect your application).

Completion and submission of this form gives Greensville Trust permission to administer first aid by trained staff first aiders if required.

If you consider yourself to have any of the following disabilities please specify below.

• No disability
• Physical impairment or mobility issues such as difficulty using your arms or using a wheelchair or crutches
• Blindness or serious visual impairment uncorrected by glasses
• Deafness or serious hearing impairment
• Long-standing illness/health condition e.g. cancer, HIV, diabetes, chronic heart disease, epilepsy, asthma or sickle-cell anaemia
• Specific learning disability such as dyslexia, dyspraxia or ADHD
• Mental health condition such as depression, schizophrenia or anxiety disorder
• Social/communication impairment such as Asperger’s syndrome or other autistic spectrum disorder
• Other (please specify)

Please note that some support mechanisms might take considerable time to organise. We ask therefore that you include as much as information as possible. If a disability is not declared at the application stage, Greensville Trust may not be able to cater for the student’s specific needs and the student’s enrolment may be cancelled.

Greensville Trust will ensure all personal data enclosed will be used only to plan appropriate support. Greensville Trust may need to disclose appropriate and relevant details to certain organizations to facilitate this process.