Submit a Success Story

Share Your Self-Employment Success Story

Have you (or has your VR agency) helped a VR customer successfully explore and become self-employed? Are you a VR customer who successfully launched your business? We want to share your story so more people can see the power of self-employment!

Please share your story with us via the form below. The Center on Self-Employment team may follow up with you to learn more.

Business Owner Information

First name:
You must provide the business owner's first name.
Last name:
You must provide the business owner's last name.
Email:
You must provide the business owner's email address.
Phone:
You must provide the business owner's phone number.

Business Information

Business name:
You must provide the name of the business.
Web address:
Date launched:
Business description: Tell us about your products / services, how you got started, and anything else you'd like to share.
 
You must provide a description of the business.

Vocational Rehabilitation Information

State:
You must provide the state in which the VR agency operates.
Agency name:
You must provide the name of the VR agency.
Counselor name:
You must provide the VR counselor's name.
Counselor email:
You must provide the VR counselor's email address.
Counselor phone:
You must provide the VR counselor's phone number.
How did VR help you start your business?
 
You must describe how VR helped you start your business.
 
 

You must click to place a checkmark in
the box labeled "I'm not a robot" above.