Thank you very much for considering to be a part of Heal2End campaign. Before you get started, please read the following in its entirety. 

CSA affects everyone, especially people of color, LGBTQI folk, people with disabilities, immigrants, and those of marginalized class status (i.e., those who’ve lived in poverty, have experience with being homeless, unemployed,  “unemployable”, or receiving public assistance.) We highly encourage everyone, especially those who belong to above groups to participate in this campaign.

STEP 1: Please first read PREPARING TO COME OUT AS A CSA SURVIVOR document. We want to support you as you support the movement to end Child Sexual Abuse (CSA). Before deciding to come out publicly as a Child Sexual Abuse (CSA) survivor, consider that you are not obligated to share your story. However, you may decide to do so, perhaps, because:
  • You can no longer be silent.
  • Sharing your story may advance something for you or something you care about.
  • You feel that your lived experience is important for the field or the movement.
  Potential Risks
  • Think about personal and professional consequences of publicly coming out as a survivor.
    • How would family members, friends, colleagues, etc. react?    
  • Publicly identifying yourself as a survivor may invite a lot of unwanted attention.
    • How do you think you will emotionally respond to being center of attention as a CSA survivor?
  • People may say things or ask questions that are hurtful, inappropriate, or triggering.
    • What are the worst things you could hear or be asked? Is there something you can do now to prepare yourself for these responses?
  Preparation and Self-Care
  • Who is a trusted friend with your best interests in mind with whom you could discuss the consequences of coming out? This is, ideally, someone who already knows you are a CSA survivor.
  • What do you need to take care of yourself on the day you make the video? How about when video is published?
    • For example, a celebration, a gathering of supportive friends, calling a trusted friend.
    • How can you be extra kind to yourself during these times?
    • Consider at least three self-care acts to practice as needed.
  • Who are the people who you don’t want to hear your story?
    • Take steps to prevent them from hearing your story. For example, adjust your social media settings, change privacy settings on FB, etc.
  • Who are the people who you want them to hear your story from you?
    • You may want to share your story with them before they hear it from another source second-hand.
  • What are the three worst things people may say or ask you?  
    • Practice your responses with a trusted friend. Silence is a good option.
    • If you don’t want to answer a question, say that you do not share those details.
STEP 2: PREP & FILMING Download PDF Here

Use the form below as a guide. Please answer all of the prompts and add what you feel is right to you in the empty slots. Please make sure you write down all that you say so that we can use it as a transcript for accessibility needs. Later, you will be asked to either type the script or send an image to us to be used as a transcript. To minimize triggers, please refrain from sharing details or names of perpetrators.  

What visual would you prefer? When you are saying the statements below, would you rather film a picture of yourself at the age of your abuse or do you want to hold a picture of your young self next to you, as you make the statements, or neither (just yourself with no pictures)? Whatever feels comfortable to you will work. 

Please fill out this form and read through your responses for the video.
# Inquiry Example Your Response
1 Name My name is Ignacio.
2 Occupation I am an educator.
3 Age I am 44.
4 Location I live in the Midwest.
5 Race/Ethnicity I’m Black and Boricua, and Taíno.
6 Gender I’m genderfluid. (Other examples: man, agender, etc.)
7 Pronouns My pronouns are they/them/their (other examples: She, He, Ze, etc).
8 Sexual Orientation I’m queer (other examples: I’m heterosexual, pansexual, etc).
9 Other(Optional) I’m a mother (other examples: I’m a skateboarder, a great cook, etc).
10 End with this line -- And I am a survivor of child sexual abuse. (You also have the option of giving more details like, survivor of child sexual abuse, incest, rape, etc).
  • Select a quiet location with minimal street noise or wind. Check your audio levels.
  • Face a source of light (e.g. window, lamp) and avoid light sources in the background.
  • Attach your phone or camera to a tripod or secure it on a stable stand.
  • Use a white backdrop. Plain white walls or a clean white sheet is recommended.
  • Wear a t-shirt or button-down shirt with no logos or patterns.
  • Sit on an a chair in the center of the shot.
Please provide the full script of everything you say in the video for accessibility needs. Alternatively, you may send an image of the script to heal2end@gmail.com.
Please upload your video to your Dropbox account (make sure your video is private) and share the link here.*

By typing your name below you confirm that have read the release form and agree to the terms and conditions. 

Electronic Signature (Print Name)*