Name: (or Alias)

E-mail: (please use valid e-mail address so we can contact you)

Age: (your age now)

Type of Story: Coming Out Story Harassment Story Other Story

Location of Story This happened at Home This happened at school This happened at work This happened somewhere else

Age: (your age at time of story)

Location: (Geographical location at the time of story make sure to include city, county, and state at least)

Subject: (Enter the subject of your story)

Student Story:

(Please be as discriptive as you can. We reserve the right to edit your story to fit the laws of the United States, North Carolina, Guilford County, and the City of Greensboro. We will put in pseudonames for any names you enter [such as the name of your principal or teacher and the name of your school, etc.]. Please refrain from inappropriate, offensive, or violent language unless it pertains to your story.)