Support Providers Application

Support Providers – Helping students access and participate fully in academic life.

Freelance self-employed Support Providers play a vital role in enabling students with disabilities, long-term health conditions, mental health conditions, specific learning difficulties and other study-related support needs to participate fully in academic life.

Application for Support Provider roles

If you wish to be considered for inclusion on Ulster University’s Register of Support Providers, the first step is to complete this application form.

Please ensure that the Education, Work Experience and Additional Information (Additional skills, knowledge, and experience) sections clearly demonstrate how you meet the criteria for each role you are applying for. The relevant role criteria can be found in the (Support Provider role guidelines. ).

Support Provider Application

Academic Mental Health Mentor
Autism Mentor
AT trainer
Audio Typist
Campus Assistant (General)
Campus Assistant with Note taking
Dyslexia Coach

General Reader
Library Assistant
Mathematics and Statistics Coach
Note Taker

Proof Reader
Reader
Scribe
Study Skills Coach
Typist

Indicate the role/s you wish to apply for:

Indicate which campuses you are available to provide support on: Belfast Coleraine Derry~Londonderry

Campus preferred to be interviewed on should your initial application be successful:

Personal details

National Insurance Number

First Name

Last Name

Gender

Date of Birth

Street 1

County

Street 2

ZIP/Postal Code

Street 3

Country/Region

City

Home Phone

Personal Email

Mobile Phone

Are there any specific requirements you have that need to be put in place for you to attend interview or to participate in the Register of Support Providers?

NoYes

Disability Requirements

Please provide details of higher education and other relevant education or training courses:

Institution attended: Qualification: subject: Grade Date:

Beginning with your current or most recent employment, provide details of work experience, including paid and voluntary work:

Employer: Job Title: Main duties & responsibilities: Dates:

Important: Please use this section to explain how your qualifications, skills, knowledge and experience meet the criteria for each role you have selected. You should provide clear examples where possible. Applications may not be progressed if the information provided does not clearly demonstrate how you meet the relevant role criteria.

Declaration

Have you ever been liable for any civil wrongs?

NoYes

If Yes, please give details:

Have you a criminal record?

NoYes

If Yes, please give details:

How did you hear about this Support Provider opportunity?

Please list 2 referees, one of whom should have knowledge of your recent work. (Please indicate if you do not wish a reference to be taken up before you are interviewed)

Referee 1

(Name: Email: Occupation: Address:)

Referee 2

(Name: Email: Occupation: Address:)

I confirm that to the best of my knowledge the information given on this form is correct.

I Confirm the details given are Accurate