Share Your Story

We’re sorry this form is long! We want to ensure that your story is shared on your terms.

Instead of filling out this form, we can do a virtual interview! Contact us at stemwithdisabilities@gmail.com to set up an interview.

[Image description]: A stock lab photo of a hand in a blue latex glove and lab coat holding a branch with leaves.

Email

We request your email address so that we can contact you for photos, photo approval, or any questions. We also request this to ensure that stories are unique and authentic. If you wish to remain anonymous, please indicate that in the next question.

How would you like your story to be signed?

Please choose if you would like your story to be signed or anonymous.

Name (type in the next question your desired name)

Anonymous (I wish to be represented by an illustration)

Anonymous (use relevant stock images)

Name (Optional)

If you would like your story signed, please share your desired name, pronouns, relevant titles, or social media handles.

What type of STEM professional are you or what do you study?

This question is optional. (ex. Professor in Biology, engineering lab technician)

What is your story?

This question is optional. Share what amazes you in STEM, the work that you do, and your disability journey.

What tools support you in STEM?

This question is optional. Share what accommodations or accessibility tools support you and your STEM work.

What supports do you wish were made available to you?

This question is optional. Share the accommodations, accessibility tools, or other supports you wish were made available to you.

Share Your Story

STEM with Disabilities