To nominate a student to Sheffield Hallam University's Progress Scheme, please complete the form below. The form should be completed by a referee such as a teacher, tutor, careers/guidance advisor or personal advisor.

If you are a student and are struggling to have the form completed on your behalf, please contact us on 0114 225 4777 and ask to speak to the Access Development Team.

The form should be completed as soon as possible, particularly if a UCAS application has already been submitted. This will ensure we can start supporting them as soon as possible.

Fields marked * are mandatory

Part A: Student details

First name *
Preferred name
Middle name(s)
Family name *
Date of birth *
Postcode *
Contact number *
Email address *
(Should be the same email address that has/will be submitted on the student's UCAS form.)
UCAS Personal ID
Name of the student's school/college (or last attended institution):*





Part B: Supporting information to be completed by a referee

We require this information to contact you (or anyone named in the second referees details box) about the nominated student’s application and support they are eligible. By providing this information the student is consenting to us sharing information about their application with those named. If a student wishes to retract this consent, or change who they consent to us speaking to, they need to email this to shu-progress@shu.ac.uk

Referee full name*
Referee job title*
Referee work place*
Referee contact number*
Referee email address*


If there is a second referee we can speak to regarding this student, please share their name, job title and contact details below. For example one referee may be a college staff member and the other may be a charity worker or personal advisor.



As a nominator to SHU Progress the Access Development Mailing List may be beneficial to you. The mailing list provides information on the team’s projects (beyond SHU Progress). Find out more about our work.

If you would like to be added please select this below.

Add me to the Access Development Mailing List

Information supplied to Sheffield Hallam University will be used in accordance with current data protection regulation. The University will use your details to contact you with future information which may be valuable for you or your students. You can manage your preferences or unsubscribe at any time by contacting access@shu.ac.uk






Part C: Supporting Information

From the below list please select which eligibility criteria the student meets.*

Please only select ONE reason in the main column.

For any additional criteria the student meets, please select these in the additional column. For all the criteria which don’t apply to the student, please select “Not applicable.”

Full details of the eligibility criteria including definitions

  Main Reason (select ONE reason only) Additional Reason Not Applicable
Care leaver
Estranged from their parents
Care experienced
Has Caring responsibilities
Has a disability (including mental health condition)
Detriment to L3 studies
Experiencing financial difficulty or hardship
Cannot move away from their home area
Mature student
Homeless or at risk of homelessness
Refugee/Asylum Seeker
From a military family
Military veteran/service Leaver
Black British Background
Based on the above categories, please expand on the student's circumstances to ensure we can determine the most appropriate support for the student.*

Useful information includes:

- Dates, duration and details of their circumstances
- What support they are currently accessing
- Support they will require during the application progress to University

If you are nominating a student due to them experiencing extenuating circumstances please provide a detailed explanation of:

- When the situation occurred and what this consisted of
- How it impacted their level three education, ability to study or complete assessments

If the applicant has been in care, please confirm the relevant dates as part of your statement



If you have nominated a care leaver please can you confirm the following...
Has the student spent three or more months in local authority care since starting year 10 at school?
Yes
No
Unsure
Will the student be 25 or under at the time of enrolment (1st October of the academic year)?
Yes
No
Unsure
Finally, could you please confirm that you have gone through the data privacy notice with the student and that you have the student's permission to share this information*
Yes
No
To the best of your knowledge, the above information is true and accurate.*
Yes
No
Where did you/the applicant hear about the SHU Progress scheme?

How do we use your data and how do we keep it secure?

Your data is used by the Access Development Team purely for the administration of the programme in support of the student you are referring. We will only contact you with reference to the application you have made, other support services we offer that may be suitable for your students or to provide updates to the scheme to aid your discussions with your students.

Your privacy is important to us and the University takes care to safeguard it. Information will be used and stored securely and in accordance with data protection laws and other applicable legislation. Sheffield Hallam University will not use your record for other purposes than those outlined here, and we will not release data to anyone who is unauthorised. The University does not and will not, sell personal data to third party organisations.

Your rights

You have a number of rights under data protection law. If you have a query, complaint or request about the use of your data, or for it to be removed from our system, please contact the Access Development Team via email access@shu.ac.uk or telephone 0114 225 4777.

Please see our website for any further information about data usage.