Your Positive Story (in 3 steps):

Location (where it happened): (choose one) During Work Job Interview Office - local or state gov't Office - federal gov't Public building Classroom Hotel Apartment Shelter Church Public meeting On the street Store, mall, etc Bar Public park Private land Other

City or Town where it happened:  

State:   (choose one) AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KY KS LA MA MD ME MI MN MO MS MT NE NH NC ND NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Approximate date:   (month) January Februuary March April May June July August September October November December (year) before 1996 1996 or 1997 1998 or 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Part 2: What happened & what it meant to you

Describe your positive experience. Be sure to include:
  - the action(s) by or words of others
  - how it (they) felt to you
  - where it happened
  - who witnessed it
  - what, if anything, resulted from it
  - has anything like this happened before? if so, over what period of time has this happened?

Part 3: About You

This story is about something experienced by:
  Myself   Someone Else

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It may be helpful to our work if we can ask you a few questions about your story. All contact and identity information will be kept in the strictest confidence and will not be used for ANY other purpose.

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