HomeWhat I Wish Request
2012 What I Wish for My Child Campaign Submission
    What I Wish

    Parents of children with disabilities, ages 2 to 21, may submit a wish they have for their child to the What I Wish for My Child campaign. V-LINC staff and volunteers will select the winners and volunteer engineers will invent one-of-a-kind assistive technology solutions to help each winning family. V-LINC’s volunteers are skilled engineers supported by volunteer physical and occupational therapists, nurses, machinists, carpenters, and engineering students from across the region.

    Submissions will be accepted until April 30 – at least five requests will be selected and announced on July 14. Submissions will be chosen based on whether there is a solution already commercially available, safety considerations, and whether it is a request that can be realistically met by the organization. V-LINC accepts submissions from families of all income levels and with children with any disability.

    Personal Information
  1. First Name(Required)
    ( A thru Z ), Hyphen ( - ), Apostrophy ( ' ) only.
    Sorry, the text in the First Name field is invalid. Only Letters and Dashes (-) are allowed.
  2. Last Name(Required)
    ( A thru Z ), Hyphen ( - ), Apostrophy ( ' ) only.
    Sorry, the text in the First Name field is invalid. Only Letters and Dashes (-) are allowed.
  3. Email Address(Required)
    username@provider.com
  4. Phone Number(Required)
    Numbers, Parenthesis ( ), Hyphens -, Dots . Only
    Please enter your phone number, using only digits or digits and hyphens (-)
    5. Address
  5. Your Address(Required)
    123 Your Street
    Your Street Address is Required. It is used to contact you in reference to your request, plan for home visits if selected, etc...
  6. Address 2
    Apt 123 (if applicable)
    Invalid Input
  7. City(Required)
    My Town
    Your City is a Required Field
  8. State(Required)
    (2 letter Abbreviation)
    Your State is a Required Field
  9. Zip Code(Required)
    (Numbers Only)
    Your Zip Code is a Required Field. Please ensure all 5 digits are included.
    10. Who my Wish is For
  10. Child's Name(Required)
    i.e. John Doe
    Camper 1 Name has an error. It can only contact letters and hyphens (-)
  11. Date of Birth(Required)
    mm/dd/yyyy
    Camper 1 Date of Birth is incorrect. Please Enter the Date as (MMDDYYYY or MM/DD/YYYY or MM-DD-YYYY)
  12. Disability(Required)
    (Autism, Cerebral Palsy etc...)
    Please provide the disability experienced by this person.
  13. How does this disability affect your child?
    (My child has a difficult time...because...)
    Please describe how this child's disability affects them.
  14. We request that you attach a picture of your child with this submission, if you have one avaliable. This is not required. To attach a picture, click Browse and choose the picture from your computer.
    .jpg, .gif, .png Preferred
    15. What I Wish
  15. My Wish / Request
    Invalid Input
    16. You Found us How?
  16. How did you hear about V-LINC?(Required)
    (Fox45, Google Search etc...)
    Letting us know how you heard about us is helpful, enter Other if preferred.
  18. Invalid Input

2012 What I Wish Sponsors

Fox 45 Logo   Maryland Orthotics and Prothetics     Northrop Grumman Logo   234x60-uprinting-no-border