Rooted in Rights Storyteller Series Submissions
Do you have a have a story to share about a disability issue that is important to you? Do you want to use your story to advance the disability rights movement?

If so, submit a video idea for our Rooted in Rights Storytellers Series!  If your idea is selected, you'll receive a $300 stipend, and you'll collaborate with us to make your video.

We feel that people with disabilities have an authentic voice and story to tell.

Work with us to write your script and film your video with our Storytellers Kit, which includes an iPhone 6 smartphone. And then we'll work with you to edit your video and promoted it widely through the Rooted in Rights social media channels.

If you're interested in becoming a Storyteller for our Storytellers Series, please fill out the form below and create a 1 minute video describing the story you want to tell.

Guidelines for Storyteller Videos:
1) It must be about a disability rights issue.
2) Cannot contain hate speech.
3) Cannot be a form of lobbying for legislation nor endorse any candidate.
4) And cannot be used to advertise a specific organization or business.

If you don’t have the time to make a video, you can always stay involved by writing a blog for our website, and/or support our Storytellers by signing up on

Deadline for submissions: Monday, August 7th, 2017 at 11:59 PM ET.

If this submission form is inaccessible to you, links for videos uploaded to YouTube can also be sent to our Storytellers Coordinator at

***NOTE: We will not be accepting videos that have been "finished" or completed prior to the release of the Storytellers Submissions application.

Apply to be our next Storyteller!
Basic Info
Full Name (what you want to be called) *
Your answer
Preferred Pronouns *
Your answer
What country do you reside in? *
Your answer
State *
Your answer
City *
Your answer
Zipcode *
Your answer
Email *
Your answer
Instructions on creating your video pitch
To create a submission for consideration, please answer these following questions for your video pitch. And remember to introduce yourself, where you are from, and what your disability is.
1) What is your topic/idea?
2) Why is your topic/idea important to share and how does it relate to disability rights?
3) Why are you the person to share this story?
4) Who is your audience? (Who do you want to direct this video for?)
5) What is your call to action? (Your resolution/solution to the problem/issue?) What do you want your audience to do to help resolve this issue?

Remember, this is your chance to show us your personality on camera, so don't hold back!

Once your video is complete, please upload the video to YouTube and include the link to the uploaded video in the form below. **Make sure your video is Public or Unlisted, or we will not be able to access it.

Your video submission YouTube URL *
Your answer
Is your video time sensitive? *
Please read the release form below
Rooted in Rights
Materials Release Form
Description of “Material”: Rooted in Rights Storytellers Series Submission Video

This Agreement shall confirm that:
A) I grant Disability Rights Washington d/b/a Rooted in Rights (“Rooted in Rights”) an irrevocable, non-exclusive license to use, release, exhibit, depict, display, reproduce and broadcast the Material, and recordings of my likeness and voice on a video, audio, photographic, digital, electronic or any other medium and to use my name in connection with these recordings;
B) I represent and warrant that the Material was created and/or is owned by me and that the Material is original; that I am the sole owner of all rights in and to the Material; that I have obtained all rights, consents and permissions necessary regarding the content of the Material and the Material (including, but not limited to, rights of any party appearing in the Material);
C) I hereby release Rooted in Rights from any claims, whether existing at present or in the future, including, without limitation, all rights, demands and/or liabilities regarding invasion of privacy, right of publicity, defamation (including libel and slander), copyright infringement, moral rights, confidentiality, and/or any other personal or property interests or rights of the Material and any ancillary and subsidiary uses of the Material;
D) If any controversy or claim arising out of or relating to this Agreement, or the breach of any term hereof, cannot be settled through direct discussions, the parties agree to endeavor first to settle the controversy or claim by mediation conducted in the State of Washington and administered by an experienced mediator.

I hereby release Rooted in Rights from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that I may hereafter have from liability for any violation of any personal or proprietary right I may have in connection with such use of my Material in any medium. I have read and fully understand the terms of this release.

I have read and fully understand the terms of this release. *
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