Please complete this form, answering as many questions as you feel able to. Then click submit. The information you provide is extremely helpful and will ensure you receive the most appropriate support from an ISVA. The information you provide is confidential and will not be passed on to other agencies (see Data Protection Statement at bottom of this form). Only answer the questions you feel comfortable answering. If you have any questions, or need help completing this form, contact us on 0114 241 2766, and a member of the ISVA team will support you to complete it. If you do not complete this form and agree to the Data Protection statement, we will not hold your contact details and your personal information will be deleted from our system, but we will be unable to offer you support.
Client first name First Name Client number (Your client number is in the email you received asking you to complete this form).
By ticking the box below you are giving SRASAC your consent to hold the information given on this form about you. Where consent has been given you are free, at any time, to change your mind and withdraw your consent by contacting us at firstname.lastname@example.org
Where consent has been withdrawn SRASAC will delete any personal information we have stored. SRASAC will retain your personal data only for as long as is necessary for the provision of support. This statement is in accordance with the General Protection Regulation (GDPR) (EU) 2016/679.