We understand the subject of domestic violence and sexual assault is a highly sensitive matter and respect your decision to share. Thank you for being a part of our campaign. Please reach out to
for any questions or concerns.
I give AACI permission to share my story. Please note: all stories will remain 100% anonymous and untraceable unless noted you wish to claim your story. Not all stories will be highlighted.
I prefer to claim my story. I acknowledge and allow AACI to share my story.
I prefer to remain anonymous. Please don't share my name with my story.
Please do not share my submission.
We believe everyone's story deserves to be heard. Please share your own journey of healing or a message of hope and support for survivors.
Ways I want my story shared (you may check off multiple from the list below):
Social media (Facebook, Twitter, Instagram)
Video feature (Facebook, Youtube)
Name (if you would like to claim your story)
How did you hear about the AACI #IStandWithSurvivors campaign?
Please provide your email address below if you would like to receive general AACI updates. Please note: your information will not be shared outside of AACI.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service