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Ecuador
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Faroe Islands
Fiji
Finland
France
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Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guam
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Guinea
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Israel
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Jamaica
Japan
Jersey
Jordan
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Kenya
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North Korea
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
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Madagascar
Malawi
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Maldives
Mali
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
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Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
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Kenya
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Kosovo
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Laos
Latvia
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Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
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Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
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Tunisia
Turkey
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Tuvalu
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
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US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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Personal Confidentiality
Using my full name is okay
Using my full name and city is okay
Use my first name only
Using my first name and city is okay
Using my city is ok, but please use an alias for my name
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11
How do you want the story or experience(s) you provide publicly attributed to your organization?
(i.e. Max Smith, Advocacy Director, Ice Cream for All)
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12
Select what personal question(s) or issue(s) you would like to talk about:
Food security: Do you struggle to have enough food to feed yourself or your family each month? Do you sometimes have to choose paying a bill or getting groceries? Have you accessed SNAP food stamps to help fill your refrigerator?
Child care: Have you experienced difficulty finding affordable child care? Does paying for child care crowd out other necessities, like savings or repairs?
Employment: Have you lost a job because of the pandemic? Have your wages been cut? Were you able to access income supports like unemployment or not?
Medicaid: Do you get your health care through Medical Assistance? Is that a new benefit that you sought because of the pandemic and economic recession? If MA services were to be reduced, how would you get health care you need?
Disability services/Mental health: Do you receive Medical Assistance to support your disability services or mental health care? How does it support your everyday living? How might your life change if support services would be changed or reduced?
Housing and homelessness: Has a drop in income or job loss caused you to have trouble paying your rent or mortgage? Are you currently struggling to provide safe housing for you or your family? Are your children facing difficulties at school because they lack a permanent and safe home?
Tax subsidy: What would it mean for you or your family if you were to receive a one-time increase in a tax refund check? (Amounts vary upon each individual.)
Other: Is there a different issue you would like to share your experience with that's not listed here? Please feel free to share what's important to you!
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Other:
Is there a different issue you would like to share your experience with that's not listed here? Please feel free to share what's important to you!
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Select what question(s) or issue(s) your organization would like to talk about:
Food security: Do the people your organization works with struggle to have enough food to feed themselves or their family each month? Do they sometimes have to choose paying a bill or getting groceries? Have they had to access SNAP food stamps to help fill your refrigerator?
Child care: Have the people your organization works with experienced difficulty finding affordable child care? Does paying for child care crowd out other necessities, like savings or repairs?
Employment: Have the people your organization works with lost a job because of the pandemic? Have their wages been cut? Were they able to access income supports like unemployment or not?
Medicaid: Do the people your organization works with get their health care through Medical Assistance? Is that a new benefit that they sought because of the pandemic and economic recession? If MA services were to be reduced, how would they get health care they need?
Disability services/Mental health: Do the people your organization works with receive Medical Assistance to support their disability services or mental health care? How does it support their everyday living? How might their life change if support services would be changed or reduced?
Housing and homelessness: Has a drop in income or job loss caused the people your organization works with to have trouble paying their rent or mortgage? Are they currently struggling to provide safe housing for themselves or their family? Are their children facing difficulties at school because they lack a permanent and safe home?
Tax subsidy: What do you think it would mean to the people your organization works with if they were to receive a one-time increase in a tax refund check? (Amounts vary upon each individual.)
Other: Whether it’s the arts or the environment, is there something else that is important to you that you would like to address? If your organization works to address a different issue than listed here, would you like to share what a cut or rise in state funding could mean to your work and the people it impacts?
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Other:
Whether it’s the arts or the environment, is there something else that is important to you that you would like to address? If your organization works to address a different issue than listed here, would you like to share what a cut or rise in state funding could mean to your work and the people it impacts?
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I want to share my story with other Minnesotans by:
Please pick one
Writing a short story in this form
Recording a brief video of my story on my cell phone or other device and uploading it to this form
Recording a short audio version of my story on my cell phone or other device and uploading it to this form
Being interviewed by someone from the Together We Rise Minnesota campaign (phone or Zoom)
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Tell us your story
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19
Are there other ways you would like to be involved in sharing this story and participating in the campaign?
No worries if you don’t have experience in any of the below items. Our team would help support you!
Letting the Together We Rise Minnesota team share my story in whatever format I choose on their website, social media, and email.
I would be willing to share my story during a committee hearing or other event.
I would be willing to speak with a member of the media about these experiences.
I would be willing to write a letter-to-the-editor or op-ed, with support from your staff.
I am comfortable with my current contribution
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20
Are there other ways you would like to be involved in sharing this story and participating in the campaign?
No worries if you don’t have experience in any of the below items. Our team would help support you!
Letting the Together We Rise Minnesota team share my story in whatever format I choose on their website, social media, and email.
I would be willing to share my story during a committee hearing or other event.
I would be willing to speak with a member of the media about these experiences.
I would be willing to write a letter-to-the-editor or op-ed, with support from your staff.
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Do you have any questions or any additional information we should know about?
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