Black DEHEM Anonymous Stories Form
The purpose of this form is to gather Black disabled stories in higher education. Stories can be positive or negative experiences that have occurred during your journey in academia. You are not limited to only one story, but please fill out the form again. These stories will be shared via tweet on the Twitter handle @DisInHigherEd

Story or experience topics may include (but are not limited to):
- Coming to terms with your disabled identity
- The unique perspective of being Black and Disabled
- Journey to higher education
- Accommodations
- Overcoming internalized ableism
- Self advocacy
- Experiences with lecturers/advisors/staff/colleagues/students
- Experiences of ableism
- Barriers in Higher Educations
- Reasons why you dropped out
- Success and celebration stories

You are not required to disclose your disability, if you would not like to. We recognize disclosure as a personal decision and so, many may feel better not disclosing your disability. We also recognize self-diagnosis are valid disabilities, so those who are self-diagnosed are welcome to submit a story.

The demographics question are optional and are simply so that Disabled in Higher Ed can ensure they are sharing stories and experiences that are representative of the Disabled in Higher Education community as a whole. Mandatory questions are marked with an asterix(*)

All stories will be read prior to sharing, to ensure there is no profanity or hate language, and to facilitate the Disabled in Higher Ed Team to add content warnings if needed.

Here at Disabled in Higher Ed, we take your privacy seriously, and we will share your story anonymously. Emails and other information are NOT recorded as part of this form.

If you have any further questions or concerns, feel free to contact us at disabledinhighered@gmail.com.
Sign in to Google to save your progress. Learn more
Please share your experiences (Stories will be tweeted in a thread format): *
Do you agree to have your story/experience shared anonymously on the @DisInHigherEd Twitter Account *
Do you agree to have your story/experience shared anonymously on our website? *
What is your position in higher education/academia?
Clear selection
What major/field/occupation are you in?
What are your pronouns?
What country are you in/from?
What is your ancestry? (e.g. racial identity, ethnicity, or country of origin)
Are there any other questions or comments you would like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy