Joshlilj Submission Form

Use this form to anonymously nominate someone going through a tough time who could use extra support. This is used for for an upcoming JoshLilj project focused on helping people and sharing meaningful stories.

Note: The person nominated must not know they are being nominated or know of Joshlilj.

Due to the volume of submissions, not every request can be reviewed or fulfilled, and assistance is not guaranteed. Not all help will be shared publicly.

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Email *
The name of the person you are nominating *
What is your name? *
What city are they located in? *
What state are they located in? *
What are the challenges they're experiencing?  *
What are their dreams and goals?
 *
What are their hobbies or passions? *
Add a link to the social media page of this individual or provide their social media handle. Please provide a social media page that is not set as 'private' *
Is there anything else you'd like to share?
What is your phone number?
 *
Are you over the age of 18 years old?
 *
What is your relationship to this person? *
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