I Uplift Vermont by ...
Stories are a powerful motivator for social change. You can inspire others to make changes in their lives by sharing real life examples of how you work to change the culture of violence in your community! All you have to do is fill out the form below.  This information will be shared on the website with your first name and town so please only share information you are comfortable with being publicly available. For more information about these testimonials or how you can get involved with the campaign, please email Jessica at jessica@vtnetwork.org 
Sign in to Google to save your progress. Learn more
What is your first name? (If you prefer to be anonymous, please indicate that here) *
What is one way you prevent violence in your community? *
What information/ resources would help you feel more confident in you work to change the culture of violence in your community?
What town are you from? (This is helpful for people to see that Uplifters are all across VT!)
Do we have your permission to post your testimonial on: *
May we contact you about your testimonial and the possibility about a social media feature? If yes, please add your email here:
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
Google Forms