We Want to Hear Your Health Care Story!
Whether you are in the process of applying for immigration status or you are a U.S. citizen, everyone in Maine needs affordable health care!
How has health care, or a lack of it, made a difference in your life and for your family?
Please note: You can choose what information we share with the public, and your contact info will not be shared outside of Maine Equal Justice.
Contact Info
First Name
Last Name
Email
Phone
Address
City
Zip Code
Pronouns (optional)
Which issues are you interested in? (check all that apply)
Administrative Systems Reform
Consumer Rights
Early Care and Learning
Education/Training
Employment/Unemployment Insurance
Health Care
Housing
Hunger
Immigrant Access
Income Support
Individual Rights/Due Process
Other
Racial Justice
Tax Reform
Transportation
Utilities
I'm interested in volunteering
Please don't email me
Please don't text me
Tell Us Your Story
Subject or Title of Your Story
Your Story
Have you recorded a video about this on YouTube, Facebook or other platform? Please paste the link here:
Have a photo to share? Upload it here:
Help Us Share Your Story
I give Maine Equal Justice (MEJ) my permission to:
use my story, which I have reviewed
use my individual and/or family photo
This consent for release of information gives MEJ to (check one):
use my full name and town or city
use just my first name and town or city
use a pseudonym (a made up name) with my real town or city
do not use my name or town/city but a general description like "a 35 year old man/woman from central Maine"
DO NOT share my story
MEJ may use my story in the following ways (check all that apply):
on the website
on social media
with MEJ funders
in any publications or written material MEJ distributes
DO NOT share my story outside of MEJ staff and board members
I may be willing to speak to a reporter about my story
Yes
Maybe; need more information
No
Please share any comments, questions, or concerns here:
Contact Information