2018-19 Parental Consent form - parents of all students under the age of 18 on Entry to Queen's. Student Details Name of Student: Course of Study: Please feel free to identify any special requirements of the above named student that may enable Queen’s to provide or recommend appropriate support (Please note: this information will be held in Student Affairs and only shared with other Services as necessary): Please tick all statements to acknowledge you agree with the statements: I have read the University’s Policy in relation to Supporting Students under the age of 18. I understand that Queen’s University Belfast is not able to act in the role of a parent or guardian to my child, and that in cases of emergency the University will endeavour to contact the appointed parent / guardian, in the first instance those resident in the UK, while they remain a minor. I consent, where it is not possible to contact a parent or an appointed UK Guardian, to Queen’s University Belfast acting as a point of contact for medical professionals, and for them to disclose information to the University should my son/daughter require emergency medical treatment, up to the age of 18. I consent, where it is not possible to contact a parent on an appointed UK Guardian, to Queen’s University Belfast to be a point of contact in any dealings the above student may have with the police, either as a victim or alleged perpetrator of a criminal act, and up to the age of 18. I understand and accept that Queen’s University Belfast is an adult environment. The University will not release information on academic progress or personal life without the student’s permission, normally required in writing. I understand and accept that Queen’s University Belfast’s internet and email services are provided on the principle of unrestricted access. I agree to accept liability for all the above student’s debts to Queen’s University Belfast, agreed prior to and up to the age of 18. I understand and accept that while studying at Queen’s University Belfast, my son/daughter will be subject to UK law and the rules and regulations of Queen’s University Belfast. I declare that I have read and accept the above conditions. Name of signatory (parent or guardian) Relationship to student (e.g. mother, father, legal guardian) Signature (type name as declaration) Date (DD-MM-YYYY) Emergency Contact Details In an emergency, please contact: These details will be held in Student Affairs. All students are also requested to provide emergency contact details as part of their registration with the University, on the student information system. Name Telephone number Mobile number Email address Address Guardianship I have appointed the following to have guardianship of my son/daughter while they are studying at Queen’s University Belfast and are under the age of 18. This is strongly recommended, particularly for students who will turn 18 after December 2018 and are not living with their parent or legal guardian. Name / Organisation Telephone number Mobile number Address Please note that confirmation of a student residing with a parent or legal guardian, or a private fostering arrangement assessed by Social Services, is a requirement for students who will be under the age of 16 on their first day of studies. Parental Consent for Tier 4 Visa Students Please note that the UK Visas & Immigration (UKVI) requires a parental consent letter for students under the age of 18 who wish to make an application for a Tier 4 visa. This is not the same as this form, which is providing consent and information to the University. The UKVI letter will be required to be submitted with supporting documents for the Tier 4 visa application, and appropriate information about this will be provided by Queen’s International Student Support after a CAS is issued. Educational Guardianship For students at Queen’s University Belfast who will be under the age of 18 on their first day of studies, and who will not be living with a legal guardian or parent during their studies, their parents / guardians are encouraged to consider an educational guardianship arrangement while they are under the age of 18. Educational Guardians are not the same as ‘legal guardians’. Educational Guardians have a parent’s permission to act as their representative in the United Kingdom, should the need arise while their son or daughter is studying here. Information about Educational Guardianship, and guardianship providers can be found on the AEGIS (Association for the Education and Guardianship for International Students) website http://www.aegisuk.net Different providers will offer different services, for a cost. Some Educational Guardians may offer visits to the student, provide additional support to settle in to a new city and country, or source host families for holiday visits. Guardianship organisations should provide a 24 hour emergency contact point for either students or parents, if problems should arise. It is the case that boarding schools in the UK may require an educational guardian as a condition for admission. This is not the case with Queen’s University, though parents of international students are encouraged to consider the best way for their child, and their family, to be supported while their child is under the age of 18. Not all agencies will operate in Northern Ireland, so please enquire about this when speaking to an educational guardianship provider. You will also want to ask about cost of provision, and what is offered by the organisation (e.g. organising home stay visits with host families, frequency of contact with your child).
Parental Consent Form