Student Placement Application

Part Two: About Your Course & Placement

Please share some information about your current or upcoming course of study with a UK university or college.
Course Name*
The full title of your current or upcoming course of study.
Course Provider*
The university or college providing your current or upcoming course of study.
Course Key Contact Name *
The name of your key contact. This is a member of staff overseeing your course or placement from the university or college mentioned above.
Course Key Contact Email*
example@example.com
Please share a detailed overview of your placement requirements.*

0/150
How many days per week is your placement?*

One (1) day per weekTwo (2) days per weekOther: please specify above
What is the rough start and end date of your placement?*
What is your placements minimum time requirements? *
What potential barriers do you foresee with taking part in a volunteer placement with us? Do you have any access needs or requirements you'd like to share?*
Please note how you will support yourself in meeting these needs and how NEUROMANCERS could potentially assist. (We may or may not be able to offer the assistance requested.)

Part Three: Your Application

This is your opportunity to share more information about you. Please don't feel the need to be overly formal: we want to get a truthful idea of who you are!
What is your personal lived experience with being neurodivergent+?*

Personal Lived Experience: As a peer-led organisation, everything we do is for and by our community. All student placement applicants should have personal lived experience with neurodivergence, mental illness, mental distress, madness, trauma, addiction, disordered eating, psychosis, altered states, suicidality, and/or similar. Clinical diagnosis not required.0/200
What has called you to apply for this placement? What has sparked your interest and what would you be interested in learning from us? *

0/200
Why did you choose your course of study? How would your learning be enriched with a student placement with NEUROMANCERS?*

0/200
How would you define NEUROMANCERS values of abolition, autonomy, and access? What do they mean to you?*

0/200
What more would you like to share with us? What else is important to know about you?*

0/200

Thank you {yourNames} for filling out this application form. We will reach out soon with next steps!

Please submit to complete.
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Part One: About You