AMP Stories - Interview Request/Nomination
Your Name
Your answer
What is your email address?
Your answer
What is your phone number? (optional)
Your answer
Name of Person to Interview (or "self")
Your answer
What categories apply to this person?
In your opinion, how was this person affected by or involved in responding to the epidemic? (Or, what story would you like to share?)
Your answer
Are there factors that make interviewing this person more timely?
If you have a contact phone number for this person, please enter it here:
Your answer
If you have an email address for this person, please enter it here:
Your answer
How should we contact this person?
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