Birth Justice Podcast NYC Storytelling Form
The Birth Justice Podcast NYC takes a close, comprehensive and creative look at how folks in NYC experience reproductive oppression and create strategies for their health and their families. Through storytelling and conversations, the Birth Justice Podcast NYC provides a space for dialogue and debate addressing one of New York City’s most pressing public health and racial justice issues: birth. To learn more visit: www.birthjustice.nyc

In its first season, we've chatted with mothers, grandmothers, birth workers, community organizers, scholars and advocates about the historical and current realities facing pregnant and parenting people and folks of reproductive age in NYC.

As we look ahead to season 2 and beyond, we plan to continue centering people's stories and experiences, and we want to hear from you!

If you live in NYC, or lived in NYC recently, and have a story to tell - please fill out our storytelling form! We’ll be in touch this Fall to talk more about your experience(s) to see how and if we can feature you on the podcast.

Please share the link with folks you know who have important stories to tell that will help our City better understand and address medical racism and health inequity.

If you have questions about the podcast and/or this form: please email info [at] birthjustice [dot] nyc

*The information you share on this form is confidential and will not be shared with anyone beyond the Birth Justice Podcast NYC team. We will not share your story on the podcast without your permission.

**Filling out this form is not a guarantee that you will be selected to share your story on the podcast. That will be confirmed after someone from our team has a conversation with you to learn more about your story.

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Email *
Tell us a little bit about yourself!
The following questions help us learn more about who you are and how we can get in touch with you.
First Name *
Last Name *
Phone Number (We will use this info to call you to learn more about your story) *
Best time(s) to reach you (check all that apply): *
Required
Best day(s) to reach you (check all that apply): *
Required
Current Residence *
Tell us more about the story you want to share.
This should be your own personal story, your own personal experience. We are not able to accept submissions of stories that are not your own, unless you are sharing about a relative, spouse, or close friend who died due to pregnancy related causes (including childbirth); or you want to blow the whistle on experiences you've directly witnessed and/or participated in at a hospital or other institution.
I have a story to share about: (click all that apply) *
Required
Where did your story take place? (check all that apply): *
Required
When did your story take place? Please share the month and year. It's okay if it spanned over time, just let us know the range (i.e. January 2018 - March 2019). *
Please provide a brief overview of your story and important details about your experience. (We will follow up via email and phone call to learn more and discuss further.) *
Why do you want to share your story on the podcast? *
If you shared your story on the podcast, would you want or need to remain anonymous? *
Is there anything else you'd like to share? Let us know!
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