EmailMeForm
Memorial Mondays
In honor of domestic violence victims, NCADV is collecting details about who they were in life and using their stories in our on-going efforts to recognize the impact of domestic violence.
NCADV will be posting a story and picture of someone murdered by an abuser throughout the year on our Facebook page, www.facebook.com/NationalCoalitionAgainstDomesticViolence.
Please note: Names and information about victims are preserved and maintained in our registry. A picture is required for inclusion in this project (please upload clear pictures if you are able).
If you would also like to see this person's name and information added to our Remember My Name project,
please click here.
Questions? Please contact mainoffice@ncadv.org.
Victim's Name
*
Victim's age at time of death
*
Date victim(s) was/were murdered
*
MM
/
DD
/
YYYY
City in which victim was killed
*
State in which victim was killed
*
Is the case still pending?
*
Yes
No
I don't know
Describe the person's interests, hobbies, wishes and dreams.
*
Share a memory you have of this person
*
Please upload a picture of the murdered person(s). You may post multiple pictures; however, we ask to limit that number to 3.
*
Add File
By whom was/were the victim(s) murdered?
*
Husband
Ex-husband
Dating Partner
Ex-Dating Partner
Girlfriend
Ex-Girlfriend
Other
By clicking the box below, you agree to allow NCADV to use the picture and information in our efforts, to continue our work.
*
I agree
NCADV is sometimes asked to share pictures and information about those included in this project for various reasons, including legislative and other activist/advocacy activities. Do you give NCADV permission to share your loved one's picture, information, and/or story for these purposes?
*
Yes, I/we give permission
No, I/we do not give permission
By clicking the box below, you agree to allow NCADV to post the picture and information to our social media profiles on Facebook and Instagram.
*
I agree
Comments or additional details. Please be brief.
Submitter's Name
First
Last
Submitter's Email
Submitter's Phone
###
-
###
-
####
What is your relationship to this person?
How has the Remember My Name project touched you?
How can we enhance the Remember My Name project?
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