Request Support

We're so glad you're here.

If the Neurospicy Collective feels like a good fit but cost is currently a barrier, we'd love to learn a little more about you. This short form should take about 5–10 minutes to complete.

Just share what feels comfortable.

Request Support

First name*

Last name*

Email*

Phone (Optional)

How did you hear about the Neurospicy Collective?

What made you interested in joining?

What are you hoping to have support with? (Check all that apply)

Executive Functioning

Daily Routines

Time Management

Emotional Regulation

Masking

Burnout

Relationships

Self Advocacy

Confidence

Work or School

Accountability

Community

Other

If you were able to participate, what would you hope feels different three months from now?

Which best describes your current financial situation?

I can comfortably afford the program.

I could participate with partial financial support.

I would need significant financial support to participate.

I wouldn't be able to participate without financial support.

If support is available, are you able to contribute anything toward the cost?

Yes

Maybe

Not at this time

If yes, approximately how much feels manageable for the 12-week program?

Is there anything else you'd like to share? (Optional)

I understand that support is awarded as funding becomes available and submitting this form does not guarantee a sponsored membership.

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Request Support

We're so glad you're here.

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Request Support