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Professional services referrals form
Contact us
Referrals to Money & Housing Advice Service from other teams
Referral form
This form if for the use of other student support services and teams who have identified that the student they are supporting requires specialist money and housing advice. 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
Student details
Name
First name
Last name
King's student ID
Email
Use the students preferred email address (the one they check the most)
Phone
Preferably a mobile number if they are in the UK. If they are currently overseas please give the full country code
Reason for referral
Please indicate the nature of your issue the student is dealing with, tick any that apply:
Money
SFE or other funding cancelled or clawed back
Dealing with debt or in financial crisis
Debt recovery action taken or being considered
Requires help with welfare benefit application or appeal
Housing
Harassment in accommodation
Homelessness
Threatened with eviction
Other welfare issues
Pregnancy and impact on funding/benefits/housing
Relationship breakdown with family or partner impacting funding/benefits/housing
Any other welfare issues should be processed in accordance with Student of Concern policies https://internal.kcl.ac.uk/student/student-of-concern
Please use this space to explain what the student requires help with and why you are referring them to us
If you are unsure about whether the referral is appropriate please call 020 7848 1234 and speak to Student Services
Please use this space to detail their availability and preferred method of meeting for an appointment including accessibility requirements etc.
If you are unsure about whether the referral is appropriate please call 020 7848 1234 and speak to Student Services
Consent to share
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 Service. 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
Has the student been informed of this referral
Yes
No - please do so as soon as possible or they may not engage with us
Where appropriate has consent been obtained?
Yes
No - without consent we cannot act on this referral
Not applicable (KCL Student Services depts only)
About you
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
Which department is this referral coming from?
A team in Student Sevrices
Credit Control
Student Funding Office
KCLSU Advice
King's Residences
Faculty Student Support Team
Other
Other
Your full name
Contact telephone number
King's email address
Upload documents if required
If relevant please send us any documents relating to the case that you may have and the student is happy for you to share
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 money.housing.advice@kcl.ac.uk and mark for the attention of Head of Service
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