Share Your Story
Please use this form to submit materials for your ACH story. Answer the four questions below in writing or by recording your answers (audio or video), and upload a few photos from your community. You decide who speaks for your ACH: a resident, staff member, partner, or a combination. Recordings don't need to be polished, but they should be free of background noise. Nothing gets shared publicly without your review. WE STRONGLY ENCOURAGE AUDIO OR VIDEO. DEADLINE: FRIDAY, SEPTEMBER 11.
Your Contact & ACH Information
Your Name
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First Name
Last Name
ACH Name
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Please Select
All in for Azusa
Antelope Valley – Violence Prevention ACH
Butte County ACH
Caring Together Santa Barbara County
Child Safety Forward Sacramento
Community Response System of South Los Angeles
Compton Healthy
Contra Costa Together
East San José PEACE Partnership
Eden Area Communities Collaborative
Fresno Community Health Improvement Partnership
Health Equity Rising
Health Innovation Community Partnership
Healthy Havenscourt Collaborative
Healthy Mendocino
Hope Rising Lake County
Humboldt Community Health Trust
Imperial County ACH
Live Well Madera County
Los Angeles Reentry Collaborative
Marin 9 to 25
Merced County
Mission Promise Neighborhood
OC API Task Force
One San Pedro Alliance
Orange County Network of Care
Pajaro Valley Collective
Placer County ACH Network
Redwood City Together
Reinvent South Stockton Coalition
San Diego Accountable Community for Health
Shasta Health Assessment and Redesign Collaborative
South County H.E.A.L.S.!
Uplift San Bernardino
Ventura County Community Health Improvement Collaborative
West Sacramento Accountable Communities for Health Initiative
Primary contact we can reach out to about your story
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First Name
Last Name
Primary contact's email address
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example@example.com
Primary contact's phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Share Your Story
HERE ARE FIVE QUESTIONS FOR YOU TO ANSWER TO CREATE YOUR STORY. Read them all first, then answer in whatever order feels natural, and don't worry about hitting every one perfectly. The best answers are about one person or one moment, not the program overall. Avoid acronyms and jargon. Imagine you're telling a friend who's never heard of an ACH. 1) Describe something that happens in your community today that couldn't have happened five years ago. Be specific about a place, a conversation, a person, a door that's now open. 2) Tell us about the moment you knew your ACH table was working. Where were you, and what did you see or hear? 3) Who or what made this possible in an unexpected way? Tell us about the contribution of one person or the transformation of one event that surprised and/or inspired you. 4) What about the work was harder than you expected? 5) If someone outside your community only remembered one thing about your ACH community, what would you want it to be?
How do you want to share your responses?
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Upload an audio or video recording of an ACH participant answering each question
Submit written responses to each question
Describe something that happens in your community today that couldn't have happened five years ago. Be specific about a place, a conversation, a person, a door that's now open
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Tell us about the moment you knew your ACH table was working. Where were you, and what did you see or hear?
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Who or what made this possible in an unexpected way? Tell us about the contribution of one person or the transformation of one event that surprised and/or inspired you.
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What about the work was harder than you expected?
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If someone outside your community only remembered one thing about your ACH community, what would you want it to be?
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Is there anything else you'd like people to know about your ACH?
Upload your audio or video recording
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Upload Files
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Do you have any accompanying media you want to share? (Photos, videos, etc)
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Yes
No
Photos and Visuals
Upload anything visual you'd like us to use: photos from your community, your logo, or graphics you've made. Photos of people work best, and send the highest resolution you have. Please only send photos you have permission to share publicly.
Upload media files
Upload Files
Drag and drop files here
Choose a file
Cancel
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Tell us about each photo or visual: what's happening, where, when, who's in it, or what a visual is meant to convey or explain. Details help us caption your images accurately—without them, we'll share the photos as-is. Also let us know if anyone prefers not to be named or wants to be identified a particular way (first name only, title, role). Please make sure you have permission from everyone pictured, including a parent or legal guardian for anyone under 18.
Any additional notes about the files being uploaded?
MEDIA RELEASE: I grant the California Accountable Communities for Health Initiative (CACHI) permission to use the photographs, video, audio, and other materials I am submitting in its communications, publications, and online platforms, without payment or other consideration. I confirm that I have the right to grant this permission, and that everyone identifiable in these materials has agreed to have their image, voice, and words used publicly by CACHI — including consent from a parent or legal guardian for anyone under 18. I understand these materials may be edited, copied, published, or distributed for lawful purposes. I waive any claim to royalties or compensation for their use, and I release and hold harmless CACHI, its partners, photographers, and videographers from any claims or liabilities arising from their use.
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I have read and agree to the photo and video release above.
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