Dream Academy Enrollment
Please fill out the application below. Any questions can be sent to dare2dream@generationxcommunity.com.
First Name
Last Name
Birthdate
Gender
Phone Number
Email
SBI or Local Jail Identification Number
Social Media Handles
Instagram
Twitter
LinkedIn
Personal Blog
Other Social Media Handle
Highest Education Level Attained
(Please choose one)
High School or Equivalent
Techinical or occupational certificate
Associate Degree
Some College Coursework Completed
Bachelor's Degree
Master's Degree
Doctorate
Professional
How long have you been incarcerated?
When were you released?
Are you on parole or probation?
Parole
Probation
Neither
Are you maintaining compliance?
Yes
No
Do you have a driver's license?
Yes
No
Do you have outstanding restitution?
Yes
No
If yes, how much?
Is your license status a result of your restitution?
Yes
No
What programs did you participate in during your period of incarceration?
In simple words, what is your business idea?
How much time have you dedicated to the business endeavor?
What have you done to develop the idea, work on the business, or search out ideas related to the business?
Do you have a mentor?
Yes
No
Outline your needs to make your dream a reality.
Do you have financial constraints that hinder you from earning money? (Are you on SSI or Section 8 or Medicaid-any program that you can lose if you earn a certain amount of money)
Yes
No
Please provide a personal narraitive regarding your life, post incarceration.
Submit here!
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