{"id":1084,"date":"2021-12-28T06:58:01","date_gmt":"2021-12-28T06:58:01","guid":{"rendered":"https:\/\/www.unsilenced.org\/?page_id=1084"},"modified":"2023-01-03T02:23:54","modified_gmt":"2023-01-03T10:23:54","slug":"submit-testimony","status":"publish","type":"page","link":"https:\/\/www.unsilenced.org\/submit-testimony\/","title":{"rendered":"Submit Testimony"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container gradient-container-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-title-center fusion-title-text fusion-title-size-one\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:46;line-height:1.04;\">Submit Testimony<\/h1><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-separator\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;max-width:250px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-custom_color_5);border-color:var(--awb-custom_color_5);border-top-width:1px;\"><\/div><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-text-transform:none;\"><p>This is needed so we can show record that we have done our due diligence to ensure that everything we share on our site and social media is truthful and factual. While we will honor any request to be anonymous when sharing your story, your actual name and the name of the program must be included in this form.<\/p>\n<p>Please check out our <strong><a href=\"https:\/\/www.unsilenced.org\/survivor-story-submission-faq\/\">Survivor Testimony FAQ<\/a><\/strong> for more information about sharing your story.<\/p>\n<\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-1083\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"1083\" data-config=\"{&quot;form_id&quot;:&quot;1083&quot;,&quot;form_post_id&quot;:&quot;1083&quot;,&quot;post_id&quot;:1084,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;field_labels&quot;:{&quot;name_of_program&quot;:&quot;Name of Program&quot;,&quot;name&quot;:&quot;Name&quot;,&quot;dates_of_internment_ex_2005-2007&quot;:&quot;Dates of Internment (ex. 2005-2007)&quot;,&quot;testimony_storystatement&quot;:&quot;Testimony (Story\\\/Statement)&quot;,&quot;i_agree_to_the_above_declaration&quot;:&quot;&quot;,&quot;first_name&quot;:&quot;First Name&quot;,&quot;last_name&quot;:&quot;Last Name&quot;,&quot;anonymous_flag&quot;:&quot;&quot;,&quot;email_of_declarant&quot;:&quot;Email of Declarant&quot;,&quot;phone_number&quot;:&quot;Phone Number&quot;,&quot;picture&quot;:&quot;(Optional) Upload a picture of your time in the program .jpeg, .jpg, and .png file formats only accepted&quot;},&quot;field_logics&quot;:{&quot;name_of_program&quot;:&quot;&quot;,&quot;name&quot;:&quot;&quot;,&quot;dates_of_internment_ex_2005-2007&quot;:&quot;&quot;,&quot;testimony_storystatement&quot;:&quot;&quot;,&quot;i_agree_to_the_above_declaration&quot;:&quot;&quot;,&quot;first_name&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;anonymous_flag&quot;:&quot;&quot;,&quot;email_of_declarant&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;picture&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;name_of_program&quot;:&quot;text&quot;,&quot;name&quot;:&quot;text&quot;,&quot;dates_of_internment_ex_2005-2007&quot;:&quot;text&quot;,&quot;testimony_storystatement&quot;:&quot;textarea&quot;,&quot;i_agree_to_the_above_declaration&quot;:&quot;checkbox&quot;,&quot;first_name&quot;:&quot;text&quot;,&quot;last_name&quot;:&quot;text&quot;,&quot;anonymous_flag&quot;:&quot;radio&quot;,&quot;email_of_declarant&quot;:&quot;email&quot;,&quot;phone_number&quot;:&quot;text&quot;,&quot;picture&quot;:&quot;upload&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/www.unsilenced.org\/submit-testimony\/\" method=\"post\" class=\"fusion-form fusion-form-1083\" enctype=\"multipart\/form-data\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container gradient-container-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\" style=\"--awb-text-transform:none;\"><p class=\"\">DECLARATION UNDER PENALTY OF PERJURY<\/p>\n<p class=\"\">PURSUANT TO 28 USCA 1746<\/p>\n<p class=\"\"><strong>[SPECIAL NOTE: STATUTE DOES NOT REQUIRE NOTARY]<\/strong><\/p>\n<\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div class=\"fusion-form-label-wrapper\"><label for=\"name_of_program\">Name of Program <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"name_of_program\" id=\"name_of_program\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div class=\"fusion-form-label-wrapper\"><label for=\"name\">Name<\/label><\/div><input type=\"text\" name=\"name\" id=\"name\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div class=\"fusion-form-label-wrapper\"><label for=\"dates_of_internment_ex_2005-2007\">Dates of Internment (ex. 2005-2007) <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"dates_of_internment_ex_2005-2007\" id=\"dates_of_internment_ex_2005-2007\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><label for=\"testimony_storystatement\">Testimony (Story\/Statement) <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"testimony_storystatement\" name=\"testimony_storystatement\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-custom_color_6);border-color:var(--awb-custom_color_6);border-top-width:1px;border-bottom-width:1px;\"><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-custom_color_6);border-color:var(--awb-custom_color_6);border-top-width:1px;border-bottom-width:1px;\"><\/div><\/div><div class=\"fusion-text fusion-text-3\" style=\"--awb-text-transform:none;\"><p>I give UnSilenced permission to use this statement on its website and all social media platforms. I declare under penalty of perjury that the foregoing written statement is true and reported from my own first-hand experience.<\/p>\n<\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-i_agree_to_the_above_declaration-1-0\" type=\"checkbox\" value=\"I agree to the above declaration\" name=\"i_agree_to_the_above_declaration[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-i_agree_to_the_above_declaration-1-0\">I agree to the above declaration<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div class=\"fusion-form-label-wrapper\"><label for=\"first_name\">First Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"first_name\" id=\"first_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div class=\"fusion-form-label-wrapper\"><label for=\"last_name\">Last Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" name=\"last_name\" id=\"last_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\" style=\"--awb-text-transform:none;\"><p>Failure to provide a name might result in the rejection of the submission.<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-custom_color_6);border-color:var(--awb-custom_color_6);border-top-width:1px;border-bottom-width:1px;\"><\/div><\/div><div class=\"fusion-text fusion-text-5\" style=\"--awb-text-transform:none;\"><p>Do you wish to have your story published anonymously? *<\/p>\n<\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-anonymous_flag-1-0\" type=\"radio\" value=\"Yes\" name=\"anonymous_flag\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-anonymous_flag-1-0\">Yes<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-anonymous_flag-1-1\" type=\"radio\" value=\"No\" name=\"anonymous_flag\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-anonymous_flag-1-1\">No<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_of_declarant\">Email of Declarant <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" name=\"email_of_declarant\" id=\"email_of_declarant\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">Phone Number<\/label><\/div><input type=\"text\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-upload-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><label for=\"picture\">(Optional) Upload a picture of your time in the program .jpeg, .jpg, and .png file formats only accepted<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-upload fas\"><\/i><div class=\"fusion-form-upload-field-container\"><input type=\"file\" id=\"picture\" name=\"picture\" value=\"\"  class=\"fusion-form-input\"accept=\".jpeg,.jpg,.png \" placeholder=\"Click or drag a file to this area to upload.\" data-size=\"2\"\/><input type=\"text\" disabled value=\"\" class=\"fusion-form-upload-field\"  placeholder=\"Click or drag a file to this area to upload.\" data-holds-private-data=\"false\"\/><div ><a class=\"fusion-button button-flat button-medium button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type fusion-form-upload-field-button\" style=\"--button-border-radius-top-left:0px;--button-border-radius-top-right:0px;--button-border-radius-bottom-right:0px;--button-border-radius-bottom-left:0px;\" target=\"_self\" href=\"javascript:void();\"><span class=\"fusion-button-text\">Choose File<\/span><\/a><\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"1083\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-default-span  form-form-submit button-default\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-custom_color_5);--button_gradient_bottom_color:var(--awb-custom_color_5);--button_gradient_top_color_hover:var(--awb-custom_color_4);--button_gradient_bottom_color_hover:var(--awb-custom_color_4);\" data-form-number=\"1083\" tabindex=\"\"><span class=\"fusion-button-text\">Submit<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_store_ip_ua\" value=\"true\"><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":19,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/www.unsilenced.org\/wp-json\/wp\/v2\/pages\/1084"}],"collection":[{"href":"https:\/\/www.unsilenced.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.unsilenced.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.unsilenced.org\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.unsilenced.org\/wp-json\/wp\/v2\/comments?post=1084"}],"version-history":[{"count":0,"href":"https:\/\/www.unsilenced.org\/wp-json\/wp\/v2\/pages\/1084\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.unsilenced.org\/wp-json\/wp\/v2\/media?parent=1084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}