Donor Family or Friend Story

Please share your loved one’s story by completing the fields below followed by the “submit” button. You may submit a photo here if it is in digital format. All fields marked with an asterisk (*) are required to submit your story.

Your Information

First Name *

Last Name *

Address *

City/State/Zip *

Email Address *

Phone Number *

I am a *

Donor Story

Donor's Preferred First Name *

Describe your loved one – you may want to use the word “hero” to describe them. Include things such as their name, age, connection to you, hobbies, personality traits.

Write briefly about the trauma of the event when you lost your loved one, if you’re comfortable talking about it. Describe the decision to donate. Was your loved one a registered donor? Had you discussed donation with them prior to their passing?

Upload Photo

Photo or Image

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Authorization of Release of Image/Information to Carolina Donor Services

By submitting my personal story I am confirming that myself or my loved one is the person pictured in this photo and/or that I own all copyright to any image or likeness I submit. I authorize Carolina Donor Services (CDS) to use my information and/or picture for any internal or external public relations purposes such as newspapers, newsletters, magazines, radio, TV, website or other electronic media. I hereby consent that I have not or will not at any time in the future receive compensation for publication, reproduction, distribution or other use by Carolina Donor Services, their successors and assigns, of my name, photograph, and story. *

I agree to grant authorization to CDS.

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