Autism & Neurodiversity Support Interest Form

First Name*
Last Name*
Email*
UCA Email
Phone Number
Are you a UCA student?*
When do you anticipate starting at UCA? (Example: Fall 2026, Spring 2027, etc)
What year will this be for you as a college student?
- First Year
- Second Year
- Third Year or more
Are you interested in living in an on-campus residential environment serving neurodivergent students in their first year at UCA?
Through the ASCEND program, a select number of rooms are reserved in the RISE@Hughes Living Learning Community and give students access to additional support within the residence hall, including a low-sensory study room and in-hall information and resource referrals. (YES / NO)
If YES, Are you interested in being matched with a roommate who is also participating in the ASCEND program?
- Yes
- No
Are you interested in participating in the ANTP program?
Students in the ANTP Program: receive early class registration may have one-on-one meetings with a faculty coordinator to help you stay on track and access academic resources has access to low-sensory lounges
If YES, Have you registered with the Office of Accessibility, Resources, and Support (OARS)?
- Yes
- No
Are you interested in being connected with student organizations for neurodivergent students, such as the Autism and Neurodiversity Alliance?
Would you like someone to reach out to you with information on the following programs?
- ASCEND Programming
- ASCEND Housing
- ANTP
- RSO