"Kid of the Month"

   

Hey Kids!
 If you or someone you know is 17 years of age or younger is a positive role model for other kids because of their talents, skills or because of how they have overcome obstacles against tremendous odds, we want to know about them!


is designed to help kids realize their dreams
by providing them with needed items and opportunities that will help them to continue to "hang on" to their dreams of becoming whatever they want in life. 
Past recipients have received internships, art supplies, photographic equipment, music recording opportunities, sports equipment, money for college and more!

Whatever your dream is,
The Hang On to the Dream Foundation
wants to help!
 

To nominate a kid, please complete the form below!


LOOK!
Some of the information requested below should be considered by you to be very personal. 

Please fill out this form, and forms like this on the internet,
ONLY with the permission and supervision of your parents.

You must be 13 years old or older to fill out this form.
 


Please provide the following information:

Your Name

I am nominating:  Myself     Someone Else

Nominee Information:

Name
Age
Address
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
Web site 

Please identify and describe yourself or the person you are nominating:

I am a  Boy Girl
School Name
What grade are you in? 


What makes you or the person you are nominating a role model for others and why do you feel they should be considered for a grant from The Hang On to the Dream Foundation:

Have you or the person you are nominating ever had to overcome any obstacles that have made it difficult for them to realize their dream?  If so, what:

 

Tell us what overall needs are needed to achieve their dream
(financial, equipment, etc.):
 

What dollar amount is the cost of the need: 

How often is this amount needed? Per day    Per Month   One-time 

If someone helps the nominee in their activity (a coach, teacher, etc.), please provide the following info:

Their Name 
Their Phone
Who are they?  

Do you have a video, photos or audio tape of the nominee in their activity that you could send us?  Yes No   If yes, what?   Video    Picture   Audio tape 
[PLEASE NOTE:  Photos and/or videos can only be returned if accompanied by a self-addressed stamped envelope.]


Please provide the name of the parent or guardian of the nominee so that we may contact them:

Name 
Phone
They are    Mom Dad  Legal Guardian

How did you hear about "Hang On to the Dream"?
T.V. news        Station:
Radio               Station:
Newspaper     Name of Paper:
Magazine        Name of Magazine:
A friend
Saw an episode of the show
Another way              What other way:

 

Copyright © 2008  The Hang On to the Dream Foundation.  All rights reserved.