Dream Bigger Application

Apply to be paired with a mentor below:

* Indicates required field

Name *

First

Last

Pronouns *

Age *

Grade *

Applicant Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Applicant Email *

Applicant Phone Number *

May we contact you at this phone number? *

Yes No

Which school do you attend? *

Parent/Guardian Phone Number *

Parent/Guardian E-mail *

Have you or a close family member ever had any experiences with the Criminal Justice System? (eg. law enforcement, courts, corrections, rehabilitation and reentry, victim services, legal representation, probation and parole) *

How did you hear about the Dream Bigger Afterschool program? (250 words) *

Dream Bigger Afterschool Program takes place every Tuesday and Thursday from the end of school day to 6:00 PM at the Missoula Public Library and runs during the entirety of the school year. Which of the following is the best fit for you and your schedule (choose one): *

Full School Year (Sept.10th-May 22nd) Fall (Sept. 10th-Jan. 23rd) Spring (Jan. 28th-May 22nd)

Regular attendance is crucial to get the most out of this program, build momentum on your projects, and fully engage with mentors and peers. Can you commit to attending every Tuesday and Thursday from the end of school day to 6:00 PM for the duration of the program? *

Yes No

Do you have commitments/plans that may prevent you from being able to attend a portion of the program? If so, please let us know how many days you plan to miss. (We are flexible and will do our best to work around your plans if we know in advance!) *

What time does your school get out on Tuesday? *

What time does your school get out on Thursday? *

How will you get to and from the Library? *

What are two or three things that you hope to get out of participating in the Dream Bigger Afterschool program? *

What are you interested in/passionate about? *

Share an idea for a project you would love to lead in the program. (This can be something you have always dreamed of or a new interest you want to explore) *

Is there anything else you would like us to know about you at this point? *

By submitting this application, I understand that the Dream Bigger Afterschool Program is a collaborative, student-led initiative. I am excited to commit my time, energy, and creativity to bring my ideas to life, with the guidance of mentors and the support of my community.

Submit

Teen Mentorship program Application

Apply to be paired with a mentor below: