What we agree together at the start of your DSA-funded support. Print it, or we'll send you a copy to sign.
Last updated: 12 October 2026 · Next review: October 2027
| Student name (first initial and surname) | ______________________________ |
| Student Finance CRN | ______________________________ |
| Support worker (first initial and surname) | ______________________________ |
| Type of support (as on DSA2) | ______________________________ |
| Hours approved / frequency | ______________________________ |
| Preferred way to be contacted | Email ☐ Phone ☐ Text ☐ Other: ________ |
| Preferred format | Face to face ☐ Video ☐ Phone ☐ Mix ☐ |
We may need to share your work plan, the type of support you've been awarded, and timesheets with your university disability team, for coordination, safeguarding, or a funder's audit. It's your choice. Saying no won't affect your support, and you can change your mind at any time.
☐ I agree to this information being shared with my university disability team.
| Attempt | Date | Method |
|---|---|---|
| 1 | ||
| 2 | ||
| 3 |
| Signed (support worker) | ____________________ Date: __________ |
| Signed (student) | ____________________ Date: __________ |
Please return the signed agreement to nmh@neurodivergentminds.com.
Email nmh@neurodivergentminds.com. You can ask for this policy in another format (large print, plain text, or read through together in a session).