Concrete Growth Moment Submission

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Stories are the seeds that cause others to grow! Thank you for being willing to share your growth with us. This form will allow you to anonymously share your growth moments and areas of struggle. If appropriate, your quote will be featured on our social media platforms. The purpose of this campaign is to uphold the belief that we are all in this together. Your struggles aren't your struggles alone.

FOR VIDEO SUBMISSIONS:
Please note that when you submit your video, you are giving the podcast editor and producer the right to feature your image, voice, and video on social media platforms. UNLESS OTHERWISE INDICATED, your name will not be associated with your image.

Please share your quote below. Even if you are submitting a video, please transcribe your quote below.

Would you like to share your name? It will be featured on the quote.

Yes

Clear selection

Would you like your quote to be anonymous? (Your name will not be featured)

Yes

Clear selection

Please type your full name in the field below acknowledging that your quote and/or video and audio will be featured on the Concrete Growth Project Podcast's Social media platforms. Your acknowledgement below gives Podcast creators the permission to include your submission as part of the campaign. *

FOR VIDEO SUBMISSIONS ONLY: Please provide your preferred method of payment below.

If you would like your social media handle tagged when we post, please include your instagram handle below.

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

Forms