Healing Hearts Community Covid-19 Collage Submission Form
Thank you so much for contributing to our community collage! This museum is yours, and this collage is meant to tell YOUR story—the story of the experiences of the people of Champaign County over the last 2 years.

One submission per person, please.

Throughout the last two years, our community has experienced multiple pandemics. Your submission can be a reflection on any of these multiple pandemics including:

Covid 19 (grief, loss, isolation fear for loved ones etc.)
Systemic racism and other injustices and isms
Economic Crisis (lost jobs, homes, food insecurity)
Climate Change
Gun Violence
Mental Health Challenges
Political Polarization

In order to make sure all the submissions can come together as one coherent community piece, please make sure your submission follows the parameters below:

Items must be paper
No larger than 8 inches by 8 inches
No thicker than 1/8 inch
One submission per person

Please fill out form below completely

Sign in to Google to save your progress. Learn more
Clear selection
Name:
Town you live in:
Email:
Tell us a little bit about your submission:
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