Learner: My Dream is I Dream

"My Dream is I Dream" (Learner Questionnaire)

Hi Dragonfly! Tell us about yourself

* Indicates required field

My name is _________ *

First

Last

Complete the blank for one of the following phrases:
1) I like to ______

2) I dream of becoming ______

3) I dream of creating ______

4) I dream of solving ______

5) I dream of doing_____

Fill in the Blank *

Upload your headshot or a short video *

Max file size: 20MB

*We also love videos! Feel free to also submit a 30 seconds or less video telling us about your dreams and why you're excited about I Dream! You can also email your submissions to [email protected]

Photo/Video Release (For Parents and Guardians Only)

Photo/Video Release: I give permission to I Dream PCS and other I Dream pre-approved organizations to use photographs, video, and/or other similar media of my child to support the school's marketing, business, and operational efforts *

Yes No

Parent/Guardian Name *

Parent/Guardian Email *

Submit