Welcome to City of High Point Form Center

COVID-19 Experience Project

2. First Name*

3. Last Name*

5. Phone Number

6. Email Address

8. Contact Preferences*

   1. Phone
   2. Email

   For contact purposes only. This will be kept private.

9. I want to help - contact me about*

   1. Recording video/audio of your story
   2. Donating objects
   3. Donating photos/memorabilia
   4. Sharing a journal/diary to share later
   5. Recommend someone to be interviewed

11. Describe your home life during the past several weeks.

13. Describe how your job/industry has changed during the past few weeks.

15. What's the most important thing to document about life in High Point during the pandemic and stay-at-home order?

17. How have people in your neighborhood responded?

19. Upload File

20. Upload File

21. Upload File

22. Upload File

24. Photo Description

    Please provide information about each photo including where and when it was taken.

26. By submitting content using this form, you grant the High Point Museum (HPM) and High Point Historical Society (HPHS) non-exclusive (shared), royalty-free license to preserve, modify, and share your content for public research, educational use, exhibits, and publication, including in print or online, and you consent to your name being used in association with the content. Further, you guarantee that any content you submit is content that you or your minor children have created. The HPM and HPHS reserves the right to select which materials to keep and preserve. Materials that are duplicative, inappropriate, or outside the scope of this project will not be retained. You must be 18 years old or older to submit content. If you are under 18, please ask a parent or guardian to submit on your behalf.

    By submitting content using this form, you grant the High Point Museum (HPM) and High Point Historical Society (HPHS) non-exclusive (shared), royalty-free license to preserve, modify, and share your content for public research, educational use, exhibits, and publication, including in print or online, and you consent to your name being used in association with the content. Further, you guarantee that any content you submit is content that you or your minor children have created. The HPM and HPHS reserves the right to select which materials to keep and preserve. Materials that are duplicative, inappropriate, or outside the scope of this project will not be retained. You must be 18 years old or older to submit content. If you are under 18, please ask a parent or guardian to submit on your behalf.

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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field