Share Your Story — Teens

Name: *
I'd like my name and contact information kept confidential.
Reclaiming Futures will not share any personal information you give us without your permission. However, we may contact you before we post your story to verify that we have your approval.
Email Address: *
*Required.

1. Challenges

Tell us about the challenges you faced. For example, what made it hard for you to get clean and sober? Or, was it hard to be on probation? If so, why?

2. Results/Lessons Learned

What changed? When did things turn around, and why? What advice do you have for others?

3. Permission *

I'm over 18. I understand that by submitting this information, I authorize Reclaiming Futures and Portland State University to use my story on the Internet or in printed form. I waive any right I might have to inspect and/or approve its use in the finished form.
I'm under 18. I understand I'll need to mail you a release form signed by my parent or guardian to: Reclaiming Futures National Program Office, Portland State University, 527 SW Hall, Suite 486, Portland OR 97201. Or, I can email a scanned image of the signed form to info@reclaimingfutures.org.
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