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Share Your Story!
This form is a place where you can tell us if you are interested in sharing your story (or nominating someone else to share their story) for the #SeeMeWNC substance use stigma campaign or the View From Here WNC Campaign.
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Your Name (and Organization)
Your answer
Your Email/ Phone
Your answer
Name of the person you're nominating (if someone other than you)
Your answer
In what county do you/ your nominee live/work?
Your answer
What topic would you/ your nominee speak about?
Substance Use
Mental Health
Healthy Eating/Active Living
Clear selection
Tell us a little bit about the story you or your nominee would like to share.
Your answer
If you're nominating someone, have you already asked them if they would be interested in sharing their story?
Yes
No
Clear selection
If you're nominating someone, please share any relevant or preferred contact information in the space below. Could include email or phone number.
Your answer
Do you have any questions for us?
Your answer
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