Sign Up - Caring Across Cultures Testimonials

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Hello! Please sign up using this form if you would like to schedule time to be filmed for the Caring Across Cultures project.

We’d like you to share a short video, audio clip, or written story of your personal experiences to help others understand the relationships between direct care workers and the people who hire them.

The testimonials will be used in online learning courses and/or other resources hosted on InControl Wisconsin’s website as part of the Caring Across Cultures learning platform. (See the attached flier for more details about the project.)

Questions: Email us at sarah@promotelocal.com

Email *

First and Last Name

Phone Number and Email Address

Would you like to be filmed for the Caring Across Cultures Project? *

Yes!

No, I am not interested

There are many options for being filmed:

- On May 16 at the Circles of Life Conference

- On May 21st at Employment First Conference

- Over Zoom

- Film on your own

How would you like to be filmed?

Circles of Life Conference - May 16th at the Holiday Inn in Stevents Point (30 minutes sometime between 10am and 5pm)

Employment First Conference - May 21st at the Kalahari in Wisconsin Dells (30 minutes sometime between 10am and 5pm)

Over Zoom

I can film myself

Other:

Please tell us the best way to reach you so we can schedule your filming. *

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