I-AM-U VILLAGE
Miss-a-bama’s iv COMMUNITY podCast
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Name
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describe you speak
Number
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Email
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Location
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Preferred recording days/times:
Your Story & Focus: What topics would you like to speak on?
Substance use / Recovery
Mental health / Emotional wellness
Harm reduction / Advocacy
Community empowerment
Culturally rooted healing
Other:
Briefly describe your lived experience
Are there specific communities or audiences you hope to reach?
Are you open to follow-up episodes or collaborations?
Yes
No
Consent
I consent to being recorded and featured on the podcast.
I understand my story may be edited for clarity, but my voice will be honored.
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