Expression of Interest form

Thank you for your interest in the Mito Stories Project. By sharing your story once, you can help drive change for the Australian mito community in many different ways.

We currently have no open interview topics. By providing your details below, you'll be among the first to know when we open new topics. You're also welcome to suggest topics for us to consider in the future.

By submitting this form, you acknowledge and consent that your information will be collected, stored and used in accordance with Mito Foundation's privacy policy.

1. Your details:

Name *

Email address *

Phone Number *

2. What is your preferred contact method?

Phone (Call)Phone (SMS)Email

3. What is your connection to mito? (Choose best fit) *

I have mito or a suspected diagnosisA family member or someone I know has mito or a suspected diagnosisA family member or someone I know who has passed away had mito or a suspected diagnosisI do not have a personal connection to mito

4. Do you have a topic you'd like the Mito Stories Project to explore in the future? Let us know below

THANK YOU

Thank you for expressing your interest in sharing your story. Unfortunately, at this time, we are seeking people with a personal connection to mito only. If you would like more information about why you are seeing this message, please contact us using the contact information below:

Email: mitostories@mito.org.au

Phone: 1300 977 180

Thank you for expressing your interest in sharing your story. We will be in touch with you once we have open interview topics. If you have any questions in the meantime, please feel free to reach out to us via:

Email: mitostories@mito.org.au

Phone: 1300 977 180