DREAM IT, BE IT: CAREER SUPPORT FOR GIRLS

Registration Form

Applications Submitted after 3/31/26 will be placed on a Wait List

We are so excited you're interested in our Dream It, Be It program! Please complete and submit the below form. Once the submission is received a club member will reach out to your parent/guardian to review the program and obtain a signed consent form.

First & Last Name

Date * required

School and Grade currently enrolled in

Professions Interested in learning more about * Required

Business & Finance

Computers & Technology

Construction & Engineering

Education

Healthcare

Hospitality & Service Industries

Legal & Criminal Justice

Media & Sales

Non-Profit Management

Other

Other professions interested in

Email

Phone

Address

Parent/Guardian Full Name

Parent/Guardian Address

Parent/Guardian Phone

Parent/Guardian's Email

How did you hear about the program?

I acknowledge that with out a signed parental consent form I cannot participate in this program

Thanks for applying! We’ll be in touch soon.

Soroptimist International of Staten Island

info@soroptimistsi.org

P.O. Box 140530 Staten Island, NY 10314-0530

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