Peer Counselling Application Logo
  • Peer Counselling Application

    by NEUROMANCERS
  • Application Deadline: Sunday 18th of January 2026 at 11.59pm. 

    Please allow 20 minutes to complete this application. You are able to save your answers as you go along. 

    NOTE: You are welcome to use bullet points for any long-text answers.

    Please note that applying for support does not guaruntee we can match you with an available peer.

    If you need assistance in completing the form, please get in touch at care@neuromancers.org.uk.  

  • Part One: About You

    Please share some personal details and contact information.

  •  - -
  • Perspective & Identity Monitoring

    This section helps us learn more about the people who are engaging with NEUROMANCERS and ensure our programs reach a wide range of people within neurodivergent+ community. 

    These questions are optional. 

  • Part Two: About Your Needs

    Please share some information about your current needs or hopes for support if we were able to offer this.
  • 0/100
  • 0/100
  • 0/100
  • 0/100
  •  
  • Thank you {yourNames} for filling out this application form. We will reach out soon with next steps!

    Please submit to complete.

  • Should be Empty: