Inside The Dream

Referral Form 2010

LAST DAY FOR REFERRALS is April 4th, 2010 AT 5 PM...

Thank you for your cooperation and understanding.

Inside the Dream's goal is to assist students, graduating from Gr. 8 or Gr. 12 with the outfit that will make their graduation a day to remember.

If you are aware of a student that might benefit from our program. You have 2 options:

1. Please download the 2010 Referral Application Form below, by clicking on the image "Application Form".



2. If you are having difficulties with downloading the application form, please email directly to ITDreferral@yahoo.ca & by answering the questions below (highlight text, copy & paste in to your email).
You will receive a confirmation email from the ITD Referral administrator.

City:
Date:
Name of person who is making the referral:
Title/Position:
School Name:
Phone #:
Fax #
Mailing Address:
Student Name:
Male _____    Female _______
(Please answer YES to one)
Grade:
Dress/Tux Size:
Shoe Size:
Day of Graduation:
Reason for Referral?
Will this student be willing to be a spoke person on behalf of Inside the Dream? (Optional)

Please keep in mind that Inside the Dream is directed to students whose families are not able to afford the full graduation expenses.

(First come first serve and while supplies last).
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