Request Form

Professional Nominators (teachers, counselors, therapists, coaches, domestic violence organizations, etc.) may share dream or need requests.
Please complete the following application to request a dream or need for a child. The child must be under the age of 18 and experienced domestic violence trauma. We ask that a follow up drawing from the child and testimony from the child and/or parent be submitted after the request is funded. Submission of a request is no guarantee the request will be met.