APPENDIX A – FREEDOM OF INFORMATION REQUEST FORM
Section 1 – Applicant Details
Title (please tick one): Mr
Mrs
Miss
Ms
Title (please state):
Forename(s): Poppy
Family Name: Damon
Previous Family Name:
Other name(s) known by:
Date of Birth
(dd/mm/yyyy):
……../……./………. Male
or Female
Nationality:
Place of Birth:
Section 2 – Applicant Details
Current Address:
Postcode
Daytime Telephone No: xxxxxxxxxxxxx
Email Address: Poppy Damon <request-586572-
xxxxxxxx@xxxxxxxxxxxxxx.xxx>
Previous Address:
Postcode:
For information on how we use/store your data, please refer to our Privacy Notice
available on our website :
https://www.derby-college.ac.uk/documents/misc/Privacy-
Notice.pdf
Originator:
Rose Matthews
Ref:
FOI Request Form
Page:
1 of 2
Area:
Corporate Services
Date:
03/03/18
Section 3 – Details of Information Required
Please use this space to give us any details about the information you are requesting, for
example by stating specific documents you require (use extra sheets if necessary):
Received by e-mail 03/07/19
I’m looking for information regarding the bereavement services which are available in your university or col ege. Please
could you answer the fol owing:
+Do you offer special provisions for counsel ing services for students
+specific to bereavement? Y/N Do you offer any support or counsel ing
+services for students? Y/N Do you have an institution wide
+policy/guidance regarding caring for students fol owing a bereavement? Y/N Do your policies or practices exclusively
relate to support for students who have lost parents or does your support factor in other forms of bereavement, such as
losing a sibling?
+Can you tel me what special provision you have for offering extensions and academic breaks in study after a
bereavement?
+How much money did you al ocate to counsel ing and support services for bereavement per year (Jan 2016-Jan 2019)?
+If you feel you would like to offer an opinion, would you say your institution feels you are offered enough from the
Government in order to support students who have experienced bereavement while studying?
Section 4 – Derby College Group’s Response to Request (use extra sheets if necessary,
but ensure attached to this request form)
+Do you offer special provisions for counselling services for students
+specific to bereavement? No
Do you offer any support or counsel ing
+services for students? Yes
Do you have an institution wide policy/guidance regarding caring for students following a bereavement? No
+Do your policies or practices exclusively relate to support for students who have lost parents or does your
support factor in other forms of bereavement, such as losing a sibling?
+Can you tell me what special provision you have for offering extensions
+and academic breaks in study after a bereavement? This is bespoke to the individual dependant on their
circumstances. How much money did you al ocate to counsel ing and support services for bereavement per
year We don’t have a specific budget al ocated to bereavement services.
+If you feel you would like to offer an opinion, would you say your institution feels you are offered enough
from the Government in order to support students who have experienced bereavement while studying?
Internal use only
Section 5 – Declaration
Response to Freedom of Information Request approved by:
Name of Derby College representative: Cheryl Tacchi
Date: 08/07/19
Executive or Director authorisation (if required)
Name: Helen Jefferson
Date: 08/07/19
Originator:
Rose Matthews
Ref:
FOI Request Form
Page:
2 of 2
Area:
Corporate Services
Date:
03/03/18