Our Board of Directors
"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
*
Fill in the blank based on the above question
Upload your headshot or a short video
*
Max file size: 20MB
Upload a photo of yourself or a short video (no longer than 30 seconds)
*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
*
Provide name of parent/guardian with approval share the child's photo
Parent/Guardian Email
*
Provide email address of parent/guardian with approval share the child's photo
Submit
Our Board of Directors
