Sharing Your Story / TedTalk Interest Form
In celebration of the Alisa Ann Ruch Burn Foundation's 50th Anniversary, our hope is to bring more awareness to burn survivors and their stories. Inspired by TED's mission to create a deeper understanding of the world by spreading ideas, usually in the form of short, powerful talks (18 minutes or less), AARBF would like to assist individuals (i.e. burn survivors, volunteers, donors, etc.) to share your story!

Please complete the following form if you are interested in sharing your story and would like the support of AARBF.
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Name (First and Last) *
Email *
Phone Number *
Type of Phone Number *
Are you interested in sharing your story publicly? *
Are you interested in learning HOW to share your story? *
Are you interested in submitting an application for a TedTalk (https://www.ted.com/talks)? *
Why are you interested in sharing your story? *
Other Comments *
Thank you for your interest in sharing your story!
Someone from the Alisa Ann Ruch Burn Foundation will be reaching out to you regarding your interest.

For any questions or concerns, please contact: Jennifer Radics-Johnson, Executive Director, at jradics@aarbf.org or 818-848-0223 ext. 12.
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