Interest Form: Beyond Do No Harm Storytelling Media Project
Do you have a story to share that we can collaborate with you to bring to life through animation, a video, short form audio story, zine, or any other kind of media? Our Beyond Do No Harm Network is collecting enlivening, inspiring examples and models of health care and public health workers, and collectives who have resisted carceral and criminalizing approaches to care provision. We are hoping to work closely with storytellers to develop media pieces around their stories together, before releasing the pieces as a collection that inspires people into action, and to interrupt criminalization themselves! Stipends/honoraria will be offered to those willing to share their stories of how they have interrupted criminalization in health care. If you have any interest or questions, fill out our form below and we will reach out! 

How will we be using your data? This is simply an interest form, where we are aiming to collect only the necessary information we need to gauge interest and start this project. All of the responses to this form will be collected in a Google spreadsheet accessible by specific, non-institutional Google emails within the Beyond No Harm team only. All emails have two factor authentication on. No information from this form will be published or posted anywhere without your explicit consent, and we will discuss specific security and data practices with you to determine safety and anonymity as we collaborate with you. We are happy to permanently delete any responses at any time. Please contact Hoai An (hwhy on) at phamh1996@gmail.com with any other additional questions or concerns.
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Email *
What way would you prefer to be contacted?
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If you selected any phone communications above, please put your phone number here
What ways are you interested in engaging with this project?
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If you are able to comfortably, can you share more about your answer above? This can be more about you, or about the story - for example, here’s what I did instead of calling the cops (with examples), whistle blowing, etc. 
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To find out more about our work and to join our listserv please visit bit.ly/BDNHlaunch
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