Join Dream It, Be It Mentor Program

Are you a high school girl that wants to find out what careers are there for you when you graduate?

If you join our program you will learn all about career opportunities, how to overcome obstacles and how to move forward after setbacks. Sign up today and we will let you know when our next program is scheduled

First name

Last name

Email

Phone

Address

Birthday

What school do you attend?

What grade are you in?

What is the schools phone number?

Is there a school counselor?

Yes

No

If yes, please provide their contact information

Counselor Email

Counselor Phone

Tell us about YOU!

What are your hobbies?

What do you dream of becoming one day?

What challenges do you face in your life?

Do you think your goals can be achieved?

Yes

No

Yes, with help

Are you often discouraged about pursuing your dreams?

Yes

No

If yes, why?

What is your availability to participate?

Saturday, all day

A school day (If allowed by school)

School holiday all day?

After school?

Media Consent Form:

https://soroptimist.imgix.net/05-for-members/Program_Resources/dream-it-be-it-club-resources/raising-awareness/dibi-consent-form-e-virtual.pdf