A New Mentee: YAY!

Welcome to DREAM - it's a fun and enriching experience, and we're excited to have your family on board. These forms are extensive, but necessary to ensure safety and fun for all our participants
Receive free/reduced lunch at school? *
Parent/Guardian Information (1)
Parent/Guardian Information (2)
Does your child participate in another mentoring program or other after-school groups? *
Emergency Contact Information (other than parent/guardian)
Person 1
Person 2
Person 3

Optional Information
Federal funding has been made available to mentoring programs who match children of incarcerated parent with mentors. If you feel comfortable, please answer the following questions.
Does the above child have a parent in prison?
Does the above child have a parent on furlough?
The DREAM Program operates with a core value of inclusion, and strives to be supportive of all participants regardless of their race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.