The Wisconsin Monologues Reader Form

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Hello! Welcome to the Wisconsin Monologues submission page. The first part of this program is to gain anonymous stories, written by students on their experiences here at UW-Madison. The second part involves you! If you would like to read a submitted story in front of a live audience, please leave your contact information here. Once all stories are collected, volunteers will be paired with a story to then speak at our hosted event. In this form, we are asking for as much background information as you feel comfortable sharing. This info will not be shared with anyone and is used to pair volunteers with writers who have similar backgrounds to each other. If you have any questions, please contact the Social Justice Hub.

Email *

What is your name? (First, Last) *

What race/ethnicities do you identify with? Check all that apply.

African American/Black

Asian

Hispanic/Latino

American Indian

Native Hawaiian or Other Pacific Islander

White

Prefer Not to Say

Other:

What gender(s) do you identify as? Check all that apply.

Female

Male

Transgender

Gender Non Conforming/Non Binary

Two Spirit

Prefer not to say

Other:

What Year Are You?

Freshman

Sophomore

Junior

Senior

Super Senior

Graduate Student

Clear selection

What is Your Residency Status?

In State Student (I'm From Wisconsin)

Out of State Student (I'm From Another State)

International Student (I'm From Outside the United States)

Clear selection

Are you a First Generation Student? This means you are the first in your family to attend college.

Yes

Clear selection

Clear form

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