Turn it Up! Application Form
Do you have a story to tell?
 
The Nebraska Association of Service Providers is working with Nebraska Educational Television to create a storytelling television special for people with developmental disabilities.
 
If you would like to be on television telling your story about developmental disabilities, fill out this form TODAY!
 
This opportunity is for:
-       People with developmental disabilities only.
-       It is okay if you want to tell your story yourself or tell your story with a staff member, friend, or another person.
-       All kinds of people and stories are welcome, including people who have difficulty talking, use a communication device, or communicate with help.
-       We encourage all kinds of people with all kinds of stories to tell to apply, including people with diverse ethnic, gender, religious, or other backgrounds.

People chosen will be notified via email and given information about coaching sessions and the television special taping.
 
To apply, fill out this form and send it to bolznasp@gmail.com by July 15, 2019.  Questions?  Call Kate (402) 802-8312.

Sign in to Google to save your progress. Learn more
First Name
Last Name
Phone Number (Your Phone Number or the Phone Number of a Parent or Staff Member)
Email (Your Email or the Email of a Parent or Staff Member)
1. Would you like to be on television telling your story about developmental disabilities?
Clear selection
2. Are you willing to work with a coach to write and tell your story?
Clear selection
3. If you are not chosen, would you like your story to be included in a guidebook that goes along with the television special?
Clear selection
4. What is the story you want to tell about?
Clear selection
5. Please tell us about the story you want to tell.  Include the following: Paragraph one:  Tell us about yourself: who are you, where are you from, what should we know about you?Paragraph two: Tell us the story you want to tell.Paragraph three:  Tell us the main lesson you want other people to learn from your story?
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