CSA Aspiration Studios — Story Submission & Intake Form
We uplift real-life stories that show adversity, celebrate resilience, and spark collective imagination. Your story matters — whether joyful, painful, unfinished, or unfolding. Sharing is voluntary and confidential.
Full Name (Legal or Preferred)
*
First Name
Last Name
Pronouns
*
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
City, State, and Country
*
Timezone
*
Please Select
Pacific Time (PT)
Mountain Time (MT)
Central Time (CT)
Eastern Time (ET)
Other
Languages You Speak Comfortably
*
Do you identify as part of any of the following communities? (optional; for context and representation goals)
*
Black or African Diaspora
Latinx / Hispanic
Indigenous or Native
Asian or Pacific Islander
Middle Eastern or North African
LGBTQIA+
Immigrant or Refugee
Formerly Incarcerated
System-Involved Youth / Foster Care Survivor
Disabled / Chronically Ill
Survivor of Violence or Trauma
Low-Income or Working Class
Other (please specify)
Prefer not to say
Other
How would you describe the central focus or theme of your story?
*
What aspects of your lived experience does your story touch on?
*
Mental Health & Healing
Education & Opportunity
Justice System or Re-Entry
Health & Disability
Immigration & Identity
Poverty, Housing, or Homelessness
Family or Generational Legacy
Entrepreneurship & Innovation
Grief & Loss
Violence or Displacement
Civic Engagement or Activism
Gender, Sexuality, or Belonging
Spirituality or Faith
Other
Please specify other aspects of your experience
What message, feeling, or takeaway do you hope your story will convey to others?
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Why is now the right time for you to share this story?
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How would you prefer your story to be shared or developed?
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Podcast or audio interview
Video or documentary
Animated or visual storytelling
Other
Who should be able to view or access your story if it’s published?
*
Public (website, social media, newsletters, etc.)
Limited (e.g., funders, partners, etc.)
CSA internal team only
I’m not ready to decide — let’s talk about it
Do you give CSA permission to contact you about your submission?
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Yes
No
Are you willing to participate in a short pre-interview to help us understand your story better?
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Yes
No
Would you be open to signing a release agreement if your story is chosen?
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Yes
No
Would you like your name, face, and voice included in the published story?
*
Yes, use my real name and likeness
Use a pseudonym
Do not show my face
I want to remain anonymous
I’d like to discuss this in more detail
Do you have any materials you'd like to share with your submission? (e.g., photos, videos, letters, journal entries, poems, artwork, etc.)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
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Is there someone else in your life who would be important to include, reference, or consult before your story is published?
*
Is there anything else you’d like us to know, be mindful of, or take into account?
*
Signature (Full Name)
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
Please Note: Due to the volume of submissions we receive, we may not be able to respond to every story individually. However, each submission is read with care and kept confidential. Even if your story is not selected for immediate production, it remains valued — and you are always welcome to re-engage with us in the future.
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