NNL Recommendation from a Teacher, Counselor, Administrator, or Coach

This form is part of the application packet for the Neuroscience for Neurodiverse Learners (NNL) Program. To learn about the other components of the program, visit the Summer Program page.

You can also access the full application in Spanish, Russian, or Vietnamese.

Instructions: A teacher, counselor, administrator, or coach must complete the form below and the short essay questions.

All NNL program offerings are contingent upon receipt of continued funding. All participants are required to be citizens or permanent residents of the United States or its possessions. The University of Washington reaffirms its policy of equal opportunity regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, or status as a disabled veteran, or Vietnam era veteran in accordance with University policy and applicable federal and state statutes and regulations.

View UW and DO-IT’s Privacy Practices for Youth Programs here: English | Spanish | Amharic | Arabic | Chinese | Somali | Vietnamese


About You

Please use the format XXX-XXX-XXXX

About Applicant

Respond to each of the questions below.  You may enter text in the field provided or upload a single alternative file, if needed. Your honest and thorough assessment of this applicant is helpful.

10 MB size limit
Files must be less than 10 MB.
Allowed file types: txt rtf html pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav.