Contribution Form May 21, 2020April 30, 2020 by Krisztian Hofstadter Contribution Form for The Frontline project We invite you to use your phone or other devices to send us short videos, photographs, audio recordings, or artwork to share what you are experiencing on the frontline during the Covid-19 pandemic. Email email@example.com for further guidance. Additionally view our Tips for Filming a Video on your phone. Your Name (required - all data will be anonymised) Your Email (required - all data will be anonymised) Your Role/Title (required) Your Status (required - click all that apply) I am an active healthcare professionalI am a volunteerI am a retireeI am a veteran (ex-services)I am a military reservistOther Your Location (required) I have read and understood the Participant Information Sheet.*By ticking this box I acknowledge that I have read and understood the Participant Information Sheet provided and understand my role in the project. I consent to the use of my media in the project.*By ticking this box I have read and understood the Consent Form and fully consent to the use of my media in the project. I consent to the use of my media for external news stories regarding the project (including newspapers, blogs, radio, television, and online media articles) (required - please check one) YesNo Where did I hear about the project? (Optional) ________ Media Uploader Let us know about your experience (Optional): *Sample Message: I can be a large body of text, A simple message, Or even a poem.* Or upload media below: *Max file size limit is 25 MB. For larger files, please submit consent form and then use a file transfer service like wetransfer to send files to firstname.lastname@example.org. Additionally you can e-mail if you have questions about your submission. May take a few moments. You may close form after hitting 'Send'