Hello, Neighbor Feature Submission

1

Who are you submitting this for?* This field is required.

I am an individual with a disability

I am a parent/guardian submitting on their behalf

2

What is your name?* This field is required.(As you'd like it shared)

3

Upload a photo you'd like us to share!* This field is required.(Please only include the individual to be featured)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

4

Finish this sentence: "I love..."* This field is required.(Examples: music, dogs, coloring, being outside)

5

Where might someone run into you in the community? * This field is required.(Examples: community events, restaurants, stores, church, the movies, the park)

6

Is there anything you’d like people to know when they see you out in the community?* This field is required.(Examples: “I might be shy at first,” “My smile is contagious,” “I love meeting new people”)

7

Anything else you'd like to share? (Optional — we may edit for length or clarity)

8

Where can we reach out to you if we have questions or need to follow up?(Optional: Include a phone number or email address)

9

Permission to share* This field is required.

I give permission for The Special Needs Collaborative to share this photo and information on social media as part of the Hello, Neighbor series.