Application to the Learning Disabilities Program. at Northeastern University

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Application to the Learning Disabilities Program

Application to the Learning Disabilities Program

at Northeastern University

The Learning Disabilities Program (LDP) offers placement to a limited number of students. Should you have any questions about the Learning Disabilities Program or our application

process, please do not hesitate to contact Jennifer Newton at 617.373.4526 or j.newton@neu.edu.

Application to the Learning Disabilities Program includes:

Completed application to the LDP (attached)

The application should be filled out by the student. It may be typed or handwritten.

LDP Accommodation Request form (attached)

Current Northeastern students who are already registered with the DRC do not need to submit this form.

High school transcript (and college transcript, if you are transferring)

SAT or ACT scores (official copy not required)

High school IEP or 504 plan (if you were eligible)

Students who attended a private high school may submit a letter from the school attesting to the accommodations and services they received there. Students transferring from another institution should also submit information about their previous accommodations.

Documentation of learning disability or attention deficit disorder

Documentation of a learning disability and/or attention deficit disorder generally consists of the student’s most recent psychoeducational or neuropsychological evaluation. Please see the reverse for additional information.

In-person interview with LDP staff.

The in-person interview is a key element in our assessment of students for admission to the LDP. Once you have been accepted to the University and submitted your LDP application, please contact the LDP to schedule the required interview.

Application materials may be sent directly to:

Learning Disabilities Program 135 Forsyth Building

Northeastern University 360 Huntington Avenue Boston, MA 02115

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Application to the Learning Disabilities Program

Guidelines on the documentation of learning disabilities

and attention deficit disorders

At Northeastern, documentation of a learning disability and/or attention deficit disorder generally consists of the student’s most recent psycho-educational or neuropsychological evaluation. It may also include the student’s IEP or 504 plan from high school, other relevant history of services and accommodations, and the student’s self report of his or her experience. Appropriate documentation reflects a student's historical and current level of functioning, describes the substantial

impact(s)/limitation(s) the student experiences due to the disability, and includes a diagnostic statement.

The staff of the LDP works with the Disability Resource Center to evaluate documentation and to determine reasonable accommodations for students in the program. If you have specific questions about documentation for a student applying to the LDP, you are invited to contact Jennifer Newton at 617.373.4526 or j.newton@neu.edu.

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Application to the Learning Disabilities Program

Application to the Learning Disabilities Program

Name _______________________________________________ Date ______________________ Address _________________________________________________________________________ _________________________________________________________________________ Phone (home) _______________________________ (cell) _______________________________ E-mail _________________________________________________________________________ When will you begin attending Northeastern (month/year)? ________________________________ Will you be a freshman? ___ High school attended: _____________________________________ Will you be a transfer? ___ College attended: __________________________________________ How did you find out about the Learning Disabilities Program?

 College guide (Peterson’s or K&W)  Guidance counselor/college advisor

 Web search

 DRC specialist

 NU Academic advisor

 Other: _________________________________________________________________ The Learning Disabilities Program offers a limited number of scholarships each year toward the LDP fee. Are you interested in being considered for this scholarship opportunity?

 Yes, I am interested. By checking this box, I understand and agree that the director of the Learning Disabilities Program may consult with Student Financial Services for determination of my financial need.

 No, I am not interested

Directions: The following questions must be answered by the student applicant. Students may handwrite or type their answers.

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Application to the Learning Disabilities Program

2. In what ways does your LD/ADD interfere with your schoolwork?

3. What are your academic strengths?

4. In what ways have you compensated for your LD/ADD? Please include your use of accommodations, subject-specific tutoring, resource room, and personal strategies.

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LDP Accommodation Request Form

LDP Accommodation Request Form

Current students who are already registered with the DRC do not need to submit this form.

1. So that we may best support you, please indicate the disability area(s) for which you are requesting accommodations:

 ADHD  Learning disability  Other (specify _____________________________) 2. Are you currently under the care of a professional/specialist? (i.e., physician, counselor, academic coach)

 No

 Yes (please specify name(s), specialty): ________________________________________________

3. Are you currently taking medications?

 No

 Yes (please specify):________________________________________________________________ Prescribed by (please specify name(s), specialty): _______________________________________

4. What specific accommodations are you requesting at this time?

Accommodation: __________________________________________________________________________

Have you used this accommodation before?

 No

 Yes (please circle all that apply): high school college SAT/ACT other: ________________ Please explain how this accommodation is useful to you (that is, what barrier or difficulty do you experience that this accommodation addresses?) ________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

Accommodation: __________________________________________________________________________

Have you used this accommodation before?

 No

 Yes (please circle all that apply): high school college SAT/ACT other: ________________ Please explain how this accommodation is useful to you (that is, what barrier or difficulty do you experience that this accommodation addresses?) ________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

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LDP Accommodation Request Form

Accommodation: __________________________________________________________________________

Have you used this accommodation before?

 No

 Yes (please circle all that apply): high school college SAT/ACT other: _________________ Please explain how this accommodation is useful to you (that is, what barrier or difficulty do you experience that this accommodation addresses?) ________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

Accommodation: __________________________________________________________________________

Have you used this accommodation before?

 No

 Yes (please circle all that apply): high school college SAT/ACT other: ________________ Please explain how this accommodation is useful to you (that is, what barrier or difficulty do you experience that this accommodation addresses?) ________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

Accommodation: __________________________________________________________________________

Have you used this accommodation before?

 No

 Yes (please circle all that apply): high school college SAT/ACT other: ________________ Please explain how this accommodation is useful to you (that is, what barrier or difficulty do you experience that this accommodation addresses?) ________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

Accommodation: __________________________________________________________________________

Have you used this accommodation before?

 No

 Yes (please circle all that apply): high school college SAT/ACT other: ________________ Please explain how this accommodation is useful to you (that is, what barrier or difficulty do you experience that this accommodation addresses?) ________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

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