Public registration form:

Are you a UK resident with experience of living with a skin condition or caring for someone who has one? Would you be prepared to act as a media spokesperson?

Case studies or ‘real life experiences’ are often used to illustrate a point in a news story or article. They help people who have no experience of a situation to understand it better.

Media spokespeople for the SCC tend to be people who want to help others by sharing their knowledge and experiences, perhaps because they have been helped themselves or because they want to raise awareness of a specific issue among a wider audience through the media.

If you decide you might be interested in being a spokesperson, please do send us your details. You should be aware, that our first and foremost priority is to look after the people involved and the aim is for us to work with you if an opportunity arises. We will never put forward a story that you are not happy about.

When someone agrees to help with media activity, we first take a short summary of his or her story. Journalists usually ask that people are identified and pictures may be needed, so we ask at the very beginning if this would be okay. If we do find a journalist that is interested in your story we will come back to you first and explain how they plan to use it before checking again that you are happy to be involved. We will never give out details without your full consent.

If you would like to know more, please fill out the form below and send it to us and we will contact you to discuss this in more detail. There is no obligation to go further once we have spoken if you are not entirely happy to be involved. Please complete all the questions below and press ‘submit’ at the end of the form or print it off and forward to Ash Communications Healthcare, 112 St Martin’s Lane, London, WC2N 4AZ. Tel: +44 (0) 20 7240 6005 Fax: +44 (0) 20 7240 8005

*Full Name:
Age:
Address:
Postcode:
Telephone Number daytime:
Telephone Number evening:
*Email Address:
What skin condition do you suffer from? (if not diagnosed, please describe the symptoms)
How long have you had the condition?
3 Please can you outline main events – good or bad – that you have experienced since you first developed/became aware of your condition.
Which media would you be willing to speak to? (please tick all/ a selection of choices)

Newspaper
Magazine
Television
Radio

Would you be willing to speak openly or anonymously about your story? (please tick appropriate choice) Openly
Anonymously

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