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Westmont Community Hope Collage Sign-up Form
Please fill out the following form to participate in our Westmont Community Hope Collage project.
Be sure to click SUBMIT at the end of this form so that your submission is received.
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First Name
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Your answer
Last Name
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Your answer
Address
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Your answer
Phone
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Your answer
Email
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Your answer
I affirm that I am 18 years of age or older.
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Yes
No
Other:
If I am under the age of 18, the name of my parent or legal guardian is listed below.
Your answer
I plan to participate in the Community Hope Collage project in the following way(s).
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I will create and submit a VISUAL image of HOPE
I will create and submit a WRITTEN message of HOPE
I will create and submit both a VISUAL image and WRITTEN message of HOPE
Other:
I will create a visual image (art, photo, etc.) that depicts one letter of the word HOPE (H, O, P, or E). I will then take several vertical pictures of both the image as well as a selfie with me and the image, and then email those images to
communications@westmont.il.gov
Yes
No
Other:
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Select the letter that you prefer to feature in the HOPE art project.
I'm open-minded regarding which letter I use for my project and will wait for the event coordinators to let me know which letters are most needed.
H
O
P
E
Other:
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I will create a written message of hope (essay, poem, story, etc.), ideally 100 words or less, and then email that message to
communications@westmont.il.gov
Yes
No
Other:
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The Village of Westmont has my permission to use my submission and my first name as part of the Community Hope Collage project. I understand that my submission and first name may be published on the Village Website, Village Social Media, etc.
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Yes
No
Other:
Be sure to click SUBMIT at the end of this form. Please let us know if you have any further questions.
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