Nominate A Dreamer
Do you work with a child who is economically disadvantaged and has endured one or more adverse
childhood experiences? A resilient child who continues to reach for his or her dreams even after continually
confronting barrier after barrier? Help bring joy and hope by nominating this child for a Dream experience.
Our nomination form is quick and easy to complete and can be saved for link sharing with the parent or guardian.
Criteria for nomination:
1. The nominee must be referred by a professional or non-relative adult nominator (ie: school personnel, child serving agencies, counselors, coaches, mentors, etc.).
2. The nominee must be under 18 on the date of application submission.
3. The nominee must be disadvantaged economically (up to 200% of federal poverty guideline) and have
had an adverse childhood experience or trauma. Examples of trauma include, but are not limited to:
- grief/loss of loved one
- forced displacement or homelessness
- physical abuse or neglect
- child of incarcerated parent
- witness or victim of domestic violence
- witness or victim of school or community violence
- military related trauma / deployed caregiver
- emotional abuse/psychological maltreatment
- natural disaster
- non-parental custody
- serious accident
- extreme poverty
- war/terrorism/political violence
4. The nominee must be recognized by the nominator to have positive character traits and motivation to overcome trauma endured.
Ready to start the nomination process? Please choose from one of the following options:
Nominator only has internet access: Complete together with Dreamer and PG-estimated total time is 15 minutes (recommended): Please click on the link below and complete the short form together.
Nominator and PG both have internet access: Can complete separately- estimated time for nominator is 5 minutes; estimated time for PG & dreamer is 10 minutes: Please click on the link below and complete the Nomination form. At the bottom of the page click ‘save and continue later’. You will be provided with a link that you can share by email with the PG / dreamer for them to complete their part within 30 days.
Limited internet access: Complete paper nomination form-estimated total time is 15 minutes: Contact us at: 440-484-2376 or email firstname.lastname@example.org to
request a paper form or for any other questions.