Faces of Suicide

Add Face Information

To submit a face and information to be placed on the site, please fill out the form below. Note that most items are required. You will receive an e-mail confirmation after your submittal has been approved and placed on the wall.
After submitting this information, you will be asked to upload a photo of your loved one to be placed on the Faces of Suicide web site.
Name (Required)	Last First Middle (Maiden) (First name example: Martha Jane (Olgivy) - Middle and Maiden Name Optional)
Dates (Required)	Birth Death (use format "Day Month-name Year", as in "03 April 1984")
Home Location (Required)	(State / Province, Country)
Website Memorial	(Optional -- Only memorial links that lead to true memorials that are open to the public will be posted. Must include "http://" in the link.)
Your Remembrance	(A short message to place next to the picture. Please ensure that your message is appropriate and loving)
The information requested below helps us validate your submittal. It will only be available to site administrators and will not be visible to the public on this web site.
Name / Email (Required)	Your Name Email (first and last)
Your relationship to this person (Required)	You are this person's
How did you find our web site?
Want to join with others?	Would you like to join one of our e-mail support groups? If yes, check the box and we will send you information about the Parents of Suicides (POS) or Friends and Families of Suicides (FFOS) e-mail groups.
Comments about this site (will not appear on the web site)	(Will not appear on the site)
Note: all information submitted becomes the property of the Faces of Suicide web site and its owners and administrators. This information will be checked for accuracy. Inappropriate information or text will be edited or deleted. By clicking the Submit Name button, you agree to these and other terms of use of this site.

Important Advice

Please carefully review the Frequently Asked Question page before submitting information. Note that many of the fields on the submit form are required. Please be careful and accurate as you enter your information.

After you fill out this form, a second screen will allow you to upload a picture.

Click this box to start