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Student Services
Supporting Your Study
Disability Services
Contact Form
Contact Form
If you wish Disability Services at Ara Institute of Canterbury to contact you prior to your course starting, please complete the form below and press submit.
Name
Student Number
Course Applied For
Which Campus will you be studying at?
-- Select an option --
Madras Street
Woolston
Manawa
Ashburton
Timaru
Oamaru
Have you studied at Ara before?
-- Select an option --
Yes
No
If yes, what year and course did you study?
What is your Disability? (tick as many as apply)
Specific Learning Difficulty (e.g. Dyslexia)
Blind or Visual Impairment
Deaf or Hearing Impairment
Autistic Spectrum
Physical Disability
Long-term Medical condition
Mental Health Difficulty
Other
If other, please specify
Please give more details about your disability and how it affects your studies
What support did you have at school or College?
What support do you think you will need at Ara?
Will you be living in Ara's Student Accommodation?
-- Select an option --
Yes
No
Would you like to be contacted by Ara's Disability Service prior to starting?
-- Select an option --
Yes
No
Phone Number
Email address
Submit