My Internet Health Story Submission Form

Please use this form to submit your internet health story for potential inclusion, in full or excerpted form, on Mozilla’s website, blog, twitter, or newsletter. Mozilla’s privacy policy ( describes how your information will be handled. Please note that submission does not guarantee publication.

The form will close for submissions on July 31, 2020, at 23:59 BST.
First & Last Name
If any portion of your story is published, it will be attributed to you with your name as it is written here. If you wish to remain anonymous, skip this field.
Email *
(Mozilla may contact you at this email address regarding your submission, including to let you know if your essay is selected for inclusion in the website, blog, twitter, or newsletter.)
Your Story content *
(Maximum of 750 words)
If you would like to submit a story for potential inclusion that is already published online, please provide a link here.
I acknowledge and agree to the following:
* I am the copyright owner of all the materials I am submitting or otherwise have the rights necessary to grant the rights granted in my submitted materials;
* Mozilla may, but is not obligated to, include my submission or any portion thereof on the website, blog, twitter, or newsletter, together with my name as provided above;
* Mozilla may edit my submission for grammar, spelling, and length;
* My submission is governed by the Mozilla Terms of Service ( and Privacy Policy (
Please check this box to indicate your agreement to the above terms. *
Never submit passwords through Google Forms.
This form was created inside of Mozilla. Report Abuse