Instagram Takeover Sign Ups
In order to help spread awareness of the mental impact COVID-19 has made on individuals, we are looking to interview a few individuals who want to share their story. If you are interested or know someone who may be, fill out this form to sign up.
Sign in to Google to save your progress. Learn more
Name *
Email *
Best Way of Contact *
Any comments or questions you would like to add?
Thank you so much for signing up!
We greatly appreciate that you are willing to share your story with us! We hope the best for you and we will contact you through email as soon as possible to be able to hold an interview with you.
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
Google Forms