Interested in joining our movement?

Are you interested in bringing the My Special Word experience to your school, organization or community? If so, please complete the form below. If you would like more information on our program or are interested in volunteering, please contact us.

If  you require a grant to join this movement, please DO NOT  fill out the form below. Instead, complete our online grant request form under the "Grant" tab of this website.

Have you worked with MSW before? *
Include street address, city, state and zip code
Include Full Name, title, email address, best number to reach and best time to reach
Expected Activity Start Date *
Expected Activity Start Date
Provide details that include + Type and quantity of MSW products to be used (chapter books, picture books, bookmarks and wristbands) + Will you want Dwight Smith or other MSW representative to participate in your activity? + Timing + Involved leaders and their level of involvement + Level of parental accountability involved + Promotion strategy + How organization will track the impact of the experience + Expected Outcomes + Activities such as learning activities, brainstorming, reflections, activity stations, etc.
Permissions & Agreements *
When you become a partner in the MSW movement, the following permissions and agreements will apply: 1. You agree to complete the MSW online feedback survey upon completion of your MSW activity. 2. You grant MSW permission to take and use photographs and/or digital images during your MSW activity for use in print or electronic materials, or for publication on the website and social media accounts of MSW. 3. You grant MSW permission to use your name and logo in print and electronic materials, including the MSW website and MSW social media platforms. 4. You agree any product (print/digital/electronic/video) displaying the My Special Word logo or the My Special Word name will be reviewed and approved by My Special Word before its public broadcast or distribution.