Sign up for the College Road Trip!
DREAM Alive is taking 40 students (20 girls and 20 boys) on a three-day and two-night trip to visit three college campuses. This year, we will visit Taylor University, Ball State University, and Purdue University West Lafayette on March 17-19, 2026. To lock in your spot for the trip, you must complete this application form, and an updated Parent Waiver must be turned in. If you have any questions, please contact our High School Director, Keon Dowdell, at 219-448-9012.
Scholar Information
Name
First Name
Last Name
Affliate Organization
*
Dream Alive
Elevate
Shepherd
Sex:
Please Select
Male
Female
Prefer Not To Say
Grade
*
9th
10th
11th
12th
School Attending
*
Arsenal Tech High School
Shortridge High School
Crispus Attucks High School
George Washington High School
Purdue PT High School
Ben Davis High School
Warren Central High School
Herron High School
George Washington High School
Other
Scholar Email
*
Scholar Cell Phone
*
Please enter a valid phone number.
Scholar Shirt Size:
Please Select
X-Small
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Scholar Food Allergies or Diet Restrictions?
Emergency Contact Info
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Email
*
example@example.com
Emergency Cell Phone
*
Please enter a valid phone number.
Back
Next
Please indicate of any medical conditions and/or medications of the student that DREAM Alive staff should be aware of:
I give permission for DREAM Alive staff to distribute any necessary over-the-counter medicine and my student's prescription medicine. (Parent/Guardian signature is needed)
What is your career field choice?
Please Select
Engineering/Architecture
Medical
Business (Management/Marketing)
Education
Performing Arts
Accountant
Computer and Software Engineering
Physical Therapist
Workforce
Trade school
Military
N/A
If your career wasn't on the drop-down menu, what career would you want to pursue?
You don't have to put down "what college you want to attend" but if what career you want to pursue if it wasn't on the drop-down menu.
Submit
Should be Empty: