Submit – Viral Imaginations: COVID-19

First Name

Last Name

Would you like us to display your name?

Yes, display my name No, I'd prefer to stay anonymous

What would you like visitors to the site to know about you?

Pennsylvania County of residence (current or previous)

PA ZIP Code (current or previous)

Email (will not be displayed on site)

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Submission Title

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Submission Description

Please choose up to 5 words or topics related to your piece, separated by commas:

I certify that I am a current or previous Pennsylvania resident, or that I work and/or study in Pennsylvania.

I am a current Pennsylvania resident. I was previously a Pennsylvania resident. I work and/or study in Pennsylvania.

Permissions

I have obtained permission from any individuals featured in my work.

Terms & Conditions

I am 18 years old or older, and I accept the Viral Imaginations: COVID–19 Terms and Conditions. I am the parent and/or legal guardian of the submitter who is under 18 years of age, and I accept the Viral Imaginations: COVID–19 Terms and Conditions.

First Name

Last Name

May we include your name?

Yes, I give my permission to use my name No, I'd prefer to remain anonymous

What would you like visitors to the site to know about you?

Submission Title

Submission Upload (PDF or Word Document)

Description

Please choose up to 5 words or topics related to your piece, separated by commas.

County

ZIP Code

I certify that I am a current or previous Pennsylvania resident, or that I work and/or study in Pennsylvania.

I am a current Pennsylvania resident. I am a previous Pennsylvania resident. I work and/or study in Pennsylvania.

Permissions

I have obtained permission from any individuals featured in my work.

Terms & Conditions

I agree to the Viral Imaginations: COVID–19 Terms and Conditions. I am the parent and/or legal guardian of the submitter who is under 18 years of age, and I accept the Viral Imaginations: COVID–19 Terms and Conditions.

Viral Imaginations: COVID-19