Dream It, Be It (DIBI) 2024
DIBI Expression of Interest

Saturday April 20, 2024
9-4pm PST
PCC Newberg

***Deadline for Applications is April 10, 2024***

More information at www.sicv.org/dreamitbeit

If you need help filling out this form or have questions about the program, please contact Debby Liew (503) 740-8182 or email the Chehalem Valley chapter of Soroptimist International at SIChehalemValley@gmail.com
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Full Legal Name and Preferred Name (if different) *
Phone number  *
Email address *
School or home zip code (ex: Sherwood 97140) *
Name of school currently attending *
Grade/Year in school *
Three career or educational areas of interest *
Please indicate your level of interest in the following careers (select THREE options) *
Required
Where do you see yourself in 10 years (i.e. what is your career, where do you live, what does your life look like)? *
T Shirt Size (Select One) *
Legal Guardian:
best contact phone number and email address (required)
*
Food Allergies, Intolerances, or Preferences (vegetarian) *
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