Story Collection Form

Thank you for contributing to the YMCA Storytelling Strategy.

Please complete the form below to submit your story.

Story Prompts:

Please share a profile of a Y life (or lives), not a program description.
Include information such as the subject's name, age, region and relationship to the YMCA
Stories can highlight obstacles that have been overcome, or focus on a recent event, accomplishment or milestone (large or small)
We love stories that highlight the connections our staff make with the community
Share the story through bullet points is fine. This does not need to be a finished story.
Include any quotes from the subject / individual if available.
Please include a photograph of the subject if available or a photo that adds to the story (ie. the place, the accomplishment, the activity)

First Name

Last Name

Program Journey

Story Summary

Is the subject over the age of 18?

Do we have permission to contact the subject for an interview?

Subject's First Name

First name of caregiver/parent if under the age of 18.

Subject's Last Name

Last name of caregiver/parent if under the age of 18.

Email Address

Preferred Phone Number

Photo

One file only.
64 MB limit.
Allowed types: gif, jpg, jpeg, png.