JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summit Story & Visioning Form
Join the conversation and share your vision for a Maine that cares.
Answer any of the prompts below and start building the future of care.
Click here to register
for the November 13 Gender Justice Summit.
* Indicates required question
Email
*
Record my email address with my response
Name
Your answer
County
Your answer
What would it look and feel like to live in a Maine that
cares
about caregiving?
Your answer
What would have to change to build that world?
Your answer
What matters most to you when it comes to care?
Your answer
May the Maine Women's Lobby Education Fund use your quote on our website and social media to promote the Maine Gender Justice Summit?
*
Yes
No
I would like to be notified for any future storytelling events. (please enter your email below)
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Maine Women's Policy Center.
Report Abuse
Forms