Share Your Story

Thank you for your willingness to share your story. Your experiences can help educate, inspire, and support others in Howard County.

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* 1. Please share your story. You do not need to include names or any identifying information. You may attach a file here or respond below in Q2.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 2. If you didn't attach a file to Q1 and you prefer, you may write your story in this comment box.

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* 3. What topic(s) does your story relate to? (Select all that apply)

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* 4. Would you be willing to be contacted for follow-up questions or to provide additional insight?

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* 5. Personal Information (Optional): Providing your contact information is optional, but it will allow us to follow up with you if needed.

Full name:

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* 6. Email address:

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* 7. Phone number:

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* 8. Preferred method of contact (select all that apply):

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* 9. Age

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* 10. Do you currently live in Howard County?

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* 11. If yes above, what HoCo community do you live in (Optional)?

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* 12. Thank you for sharing your story and helping us educate and support our community. If you have any questions, please contact us at admin@hcdrugfree.org.