Stories For Change
We want to listen.
Name *
Email Address *
Phone Number *
What neighbourhood do you live in?
Address *
Postal Code *
Which communities do you belong to?
Would you rather someone on our team phone you and record the call so that you do not have to write out your story?
Clear selection
What challenge are you facing or what challenge is someone in your life facing right now that you would like to talk about?
Tell us the story. What happened (or is happening). (Max. 500 words)
Ideally, what is the change you want to see in Ontario? [Be as specific as you can be — 250 word limit]
What gives you hope? Can you describe a positive moment or fond memory you have that keeps you going/moving forward? [ Be as specific as you can be [250 word limit]
Do you give us permission to share your story? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy