COVID-19 User Stories

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Despite the overwhelming challenges of the COVID-19 outbreak, our users have responded to the crisis using our online forms for everything from online medical appointments to meal and grocery deliveries. If you're using JotForm to combat coronavirus, we'd like to share your story in an upcoming blog post. Please fill out the following form to get started.
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What is your name?* This field is required.
First Name
Last Name
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What is your JotForm username?* This field is required.
Username
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What is your email address?* This field is required.This will not be shared publicly.
example@example.com
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Tell us your story.* This field is required.What inspires you to help others? How are you using JotForm to assist people in need during the COVID-19 pandemic?
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Provide a link to your website or form.* This field is required.Where can people go to support you and your cause?
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Would you like to provide any direct quotes for us?We will add your quotes to our blog post. (Optional)
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Share a photo of yourself (and other project members).You may upload up to 3 images.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
File types: jpg, jpeg, png, gif
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Please read the terms and conditions below and sign.* This field is required.By filling out this form , you agree to give JotForm the right to share your name, story, and photo(s) on its blog, social media channels, and third-party media outlets. JotForm does not share or sell information to third-parties and will therefore protect your submission data with high-grade security. Review our Privacy Policy for more information.
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