iMatter Anti-Stigma Storytelling Interest Form
iMatter Anti-Stigma Campaign Background

Thank you for showing interest in sharing your mental health story.  Please fill out the information below so we can contact you regarding your interest. 
 
The iMatter Anti-Stigma Campaign aims to normalize discussing mental health in our communities within the Great Lakes Bay Region (GLBR) by sharing the stories of people who have overcome challenges with their own mental health.
 
The iMatter Anti-Stigma Campaign is currently supported by one grant in 2024 through 2025 for Midland County, but we still want to support you in sharing your story if you live outside of this/these currently funded counties:
  • The Midland Area Community Foundation ARPA grant will help reduce mental health stigmas and connect Midland County residents to local resources.
All storytellers are required to be 18 years or older and sign an informed consent form which allows storytellers to remove their stories from our publications and communications at any time.

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Name: *
City/Town: *
County (of residence):  *
Zip/Postal Code: *
Email Address: *
Phone Number:  *
I am a resident or I am employed by an organization based in one of the following counties in the Great Lakes Bay Region:
 *
What is your age?
 *
Please specify your ethnicity:
 *
Required
I am comfortable sharing my story in the following format(s) (select all that apply):
 *
Required
Below is a brief description of my mental health story:
 *
Would you like to be added to our email list for updates about the Great Lakes Bay Region Mental Health Partnership?
 *
For more information about the Great Lakes Bay Region Mental Health Partnership contact Dallas Rau at drau@greatlakesbay.org, visit our website or follow our social media pages on Facebook, Instagram, and LinkedIn.

Click here if you would like to make a tax-deductible donation to help us advance anti-stigma and community culture, expand workplace mental health programs and enhance mental health provider access.
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