Supplemental Eligibility Form for DREAM-SHSI 2024
If you were NOT contacted by DREAM either from your school or directly from DREAM that your child is eligible, but believe your child qualifies based on the following eligibility, please fill out the below survey and we will reach out if you do qualify:

  • Be a current NYC resident

  • Be enrolled in the seventh grade in a DOE public or charter school

  • Score a minimum of 3.2 or above on both the 2023 grade 6 New York State Math Test and grade 6 New York State ELA Test. 

  • Live and attend school in NYC school districts 1, 2, 3 13, 14, 15, 20, 21, 22, 24, 25, 26, 28, 30, 31, and meet income requirements based on federal guidelines (qualify for free lunch under federal guidelines), as informed by the family income inquiry form, completed by families for their schools in the fall. 

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لترجمة هذا النموذج إلى لغة مختلفة ، انقر بزر الماوس الأيمن في النموذج وحدد اللغة التي تريد الترجمة إليها.

এই ফর্মটিকে অন্য ভাষায় অনুবাদ করতে, ফর্মটিতে ডান ক্লিক করুন এবং অনুবাদ করতে ভাষা নির্বাচন করুন৷

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اس فارم کو کسی دوسری زبان میں ترجمہ کرنے کے لیے، فارم پر دائیں کلک کریں اور ترجمہ کرنے کے لیے زبان منتخب کریں۔
Email *
Student's First Name *
Student's Last Name *
Student's OSIS (needs to be 9 digit number) *
Parent/Guardian email address *
Please enter email again to make sure correct! *

I give permission to NYC Public Schools to use information from other public agencies to determine if my child is eligible for DREAM, meeting the income requirement depending on the school my child attends. I understand my response does not affect my child’s eligibility for public benefits and that NYC Public Schools will not further share that information.

By selecting an answer below, I am providing my electronic signature with the same effect as a pen-and-paper signature.  

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