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.
What is the impact of a Dream experience?
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 the form is submitted. Parent / Guardian must sign release.
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 the motivation to reach for their dreams.
Ready to start the nomination process? Choose one of the following options:
Nominator complete together with Dreamer and Parent/Guardian (PG) (recommended)- estimated total time is 15 minutes: Please either click on the nomination form download link below to complete the short form together or complete the online nomination form.
Nominator and PG /dreamer complete separately-estimated total combined time is 15 minutes: Nominator completes the first page of the “digital nomination form”. Click save and continue. DO NOT use the email link function. Copy and paste the link into an email and send to the P/G to complete their portion. If you prefer a hard copy, you can also click on the “nomination form download” link below, print the form and complete the nominator page only. Then send the rest of the forms to the P/G and Dreamer to complete separately.
If the dreamer is in CPS Custody, choose the CPS Custody Nomination form link below to get started. Nominator, if different from CPS worker, can send this short form directly to the CPS worker to complete- estimated time is under 5 minutes: Upon submission of the CPS Custody form, the dreamer form will be provided to the foster parents to help the child complete their dream requests.
Questions? Contact us at: 440-484-2376 or email firstname.lastname@example.org