Please fill out as much information you are able and comfortable. The main purpose of which is to understand and get to know your situation.

Applicant Information: Section A

Full Name  

E-mail  

Student ID #  

Local Address   Street/City/Zip

Home Address   City/State/Zip

Telephone  

Age

Major  

Minor

University Status   Credits Taken

Overall GPA

GPA In Major  

GPA Last Semester  

Comments

Questions Answered: Section B

Please describe your Dyslexia (Reading Disability). When were you diagnosed? Who provided the evaluation and diagnosis?  

How and when did you learn about study skills?

What study skills work best for you?

What test taking techniques have you found to be the most helpful?

What role did your parents play in your academic studies?

How have teachers helped?

What technologies do you use?

What is the greatest obstacle you have had to overcome relative to your dyslexia?

What advice would you give to other students who have Dyslexia?

What is your major and why did you choose it?

What do you imagine will be the most difficult thing you will have to overcome relative to your Dyslexia after you graduate from UWSP?

Please list any extracurricular activities and dates of involvement.

Please describe any other relevant information you would like us to consider. (Please attach pages if needed.)

External file uploads

Recommendation Letter from UWSP Faculty Member that you have Taken a Class From

Recommendation Letter from UWSP Faculty or Staff Member of your Choosing

Unofficial Grade Report

Copy of Documentation from the licensed psychologist, licensed neuropsychologist, M Team report, and an IEP that includes a school psychologist that states the student has Dyslexia. (A copy can be obtained from Disability Services)