Share your success in youth work with MCCOY! Survey

1.Share your contact information(Required.)

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2.What kind of success story are you highlighting with this submission?

A program or event that was held for youth and/or families in Central Indiana

A youth worker or member of the community who impacts youth positively

A young person who is working to advocate for their community

Other (please specify)

3.Tell us about your success story:

Name of the person being highlighted (if applicable)

Name of program or event being highlighted (if applicable)

Please list any social media accounts we can tag in our social media post about this success story

Website where we can learn more (if applicable)

4.Please describe your success story in three paragraphs or less:(Required.)

5.Does your success story take place at a program funded by the Summer Youth Program Fund (ISYPF, or ISYP)?

Yes

6.Share an image related to your nominated success story(Required.)

No file chosen

7.Please indicate that you have rights/permissions to share this photo, and give MCCOY permission to share on our social media and newsletters to celebrate your program's success.(Required.)

I have rights to share this photo and give MCCOY permission to share it publicly

8.Share briefly how MCCOY's work in the community has impacted you or your organization as a testimonial we can share about our community impact (optional!)