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Umbrella ND Community Sharing Form
Share Your Story, Event, or Resource
24
Questions
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1
First Name
*
This field is required.
We need this Why we ask: So we know what to call you How to answer: Write your first name
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2
Last Name
*
This field is required.
We need this Why we ask: For our records and to contact you How to answer: Write your last name
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3
Pronouns
You do not have to answer. Why we ask: So we can talk to you in a way that feels right How to answer: Write pronouns like she/her, he/him, they/them, or leave blank
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4
E-mail
*
This field is required.
We need this
Why we ask: So we can send you messages about volunteering
How to answer: Write your email like: name@email.com
example@example.com
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5
Phone
You do not have to answer. Why we ask: In case we need to call you about your submission How to answer: Write your phone number or leave blank
example@example.com
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6
Your age group
*
This field is required.
We need this Why we ask: Different ages need different information and training How to answer: Check the box that matches your age
under 16 years old
16 - 18 years old
18 years or older
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7
Are you sharing for yourself or a group?
*
This field is required.
We need this Why we ask: So we know how to credit your submission How to answer: Check one box
For myself
For a group or organization
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8
If for a group, what is the group's name?
We need this ONLY IF you are sharing something for a group. Why we ask: So we can credit your organization correctly How to answer: Write your organization's name or leave blank
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9
What type of thing are you sharing?
*
This field is required.
We need this
(check all that apply)
Why we ask: So we can share it in the right way with our community
How to answer: Check every box that fits what you're sharing
My personal story (Something that happened to you)
An event (Something people can attend)
A helpful resource (Information, service, or tool that helps people)
A volunteer opportunity (Ways people can help)
Other
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10
Give your submission a title
*
This field is required.
We need this Why we ask: So people know what your submission is about How to answer: Write what you want us to call the submission
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11
Tell us about it.
*
This field is required.
We need this Why we ask: So our community understands what you're sharing How to answer: Tell us about what you are sharing. Write as much as you need to.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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12
Date
We need this for events
Why we ask: So people know when your event happens
How to answer: Write the date like "January 15, 2025"
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13
Time
We need this for events
Why we ask: So people know what time to join How to answer: Write the time like "2:00 PM" or "2-4 PM"
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14
Where is it?
We need this for events Why we ask: So people know where to go How to answer: Write the address or website link
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15
Does it cost money?
We need this
Why we ask: So people know if they need to pay
How to answer: Check one box
Free
Donation
Pay what you can
Other
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16
Do people need to register, or sign up, first?
*
This field is required.
We need this Why we ask: So people know how to join your event How to answer: Check one and fill in details if needed
YES
NO
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17
If people need to sign up first, put a link or tell us how.
We need this ONLY IF people have to sign up. Why we ask: So people know how to join your event How to answer: Put a link or write how to sign up
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Ok
quote
Created with Sketch.
Ok
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18
Who would this help most?
You do not have to answer. (check all that apply) Why we ask: So we can make sure the right people see your submission How to answer: Check all the groups who might be interested
Everyone in our community
Families with kids
Teenagers
Adults
Older adults
People with disabilities
Other
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19
If this is an event or resource, can everyone access it?
You do not have to answer. (check all that apply) Why we ask: So we can tell people what accessibility features are available How to answer: Check all the ways your event or resource is accessible
Wheelchair accessible (People using wheelchairs can participate)
Available online/virtual (People can join from home)
Free or low cost options (People don't need much money to participate)
Children welcome (Parents can bring children)
Childcare available (Parents can leave children with provided care)
Other
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20
Do you have a website or social media page for this?
You do not have to answer. Why we ask: So people can learn more or follow updates How to answer: Write website addresses or links or leave it blank
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21
Anything else we should know?
You do not have to answer. Why we ask: In case there's something important we didn't ask about How to answer: Tell us anything else that matters, or leave blank
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22
Can we share this with our community?
*
This field is required.
We need this (pick one) Why we ask: To make sure we have permission to publish your submission How to answer: Check the option that feels right to you
Yes, please share it
Yes, but contact me first
I want to talk about it first
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23
How should we list your name?
We need this (pick one) Why we ask: So we can credit you the way you want How to answer: Check how you want your name to appear
Use my full name
Use my first name only
Use my organization's name
Just say "community member”
I want to talk to someone first
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24
Can other people contact you about this?
We need this(pick one)
Why we ask: To know if we should give people your contact information
How to answer: Check what feels safe and comfortable for you
YES
NO
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