Disabled and Neurodivergent AANHPI Narratives Campaign - Participant Submission Form
Thank you for your interest in participating in AMBIV Collective's campaign to spotlight the diverse experiences of disabled and neurodivergent Asian American, Native Hawaiian, and Pacific Islander (AANHPI) individuals. 

We appreciate your time and willingness to share your story with us. Your participation is invaluable, and we look forward to learning more about your unique journey. 

Thank you for being a part of this important initiative!
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Name *
Email *
Please list social media platforms and handles you would like to be tagged with.
If you are on Instagram, would you be open to a collab post?
Preferred Pronouns
How do you identify?
Please share how you identify, including your ethnicity or cultural background and any disabilities or neurodivergence. This helps us understand and celebrate the diverse perspectives and experiences within our community.
How would you like to be visually described?
We will use this as an image description. Feel free to be as descriptive or not to what you are comfortable with.
How would you like to participate? (Select all that apply) *
Tell us about yourself and why you're interested in participating in this campaign. *
How did you learn about this campaign?
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By submitting this form, you consent to AMBIV Collective using your provided information and submitted content (story, artwork, photo) for the purpose of the Disabled and Neurodivergent AANHPI Narratives Campaign. You affirm that you are the rightful owner of any submitted content and grant permission for its use in promotional materials related to the campaign. *
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