Neurodivergence Support Application

First Name (preferred) *

Last Name *

Legal Name (if different from preferred)

ID# *

Pronouns (optional)

she/her/hers

he/him/his

they/them/theirs

Your Email Address *

Phone *

I would like to begin meeting during the following semester:

Fall 2026

Currently on a waitlist

Spring 2027

How many semesters have you been at UofL? *

Have you registered with the Disability Resource Center?

Yes

In your own words, why do you want to work with the Neurodivergence Specialist? *

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Neurodivergence Support Application