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This form if for the use of departments outside Student Support & Wellbeing Services who wish to refer students directly to the Advice & Guidance Team. Please obtain the students consent to share their information before completing this form and provide as much detail as possible. All the information provided will be processed in accordance with Student Support & Wellbeing Services Privacy Notice: https://www.kcl.ac.uk/campuslife/services/about/privacy-notice.pdf

Please indicate the nature of your issue the student is dealing with, tick any that apply:

In order to facilitate a constructive referral it is recommended that you speak to the student about your intention to pass on their information, so that they know to expect a call or email from the Money & Housing Advice Team. If you are based in KCLSU and wish to refer the student, you will need to seek consent because the data sharing policies do not cover SU activities. Please obtain written consent from the student and attach it to this referral form. It would be helpful in all cases for you to provide the student with a link to the SSWS Privacy statement: https://www.kcl.ac.uk/campuslife/services/about/privacy-notice.pdf

Thank you for setting up this referral and assisting your student to gain access to our services, we really appreciate your assistance as this helps us to be more proactive in helping students in need. Please can you provide your contact details should we need to check any of the details of this referral

By submitting this form you are confirming that you have spoken to the student about our service and they are expecting us to get in touch. You are also confirming that you are happy for us to contact you should we need to follow up with you. If you have any questions about this form and how it is processed please email advice@kcl.ac.uk and mark for the attention of Heads of Service