By completing this application form, you are applying to be a model in Breast Cancer Now's The Show Scotland.

We will use the information which you provide on this form (including information about your race, your ethnicity, your health or experiences as a breast cancer patient) to select models for The Show London and to manage our relationship with you sensitively and appropriately.

If you no longer want Breast Cancer Now to use your information in these ways, you can get in touch to withdraw your permission using the contact details on this form.

 
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Your contact details

Please complete the following details about yourself

Media work

Your experience of Breast Cancer Now

In April 2019, Breast Cancer Care and Breast Cancer Now united to become one charity for everyone affected by breast cancer, and as of October 2019 we are known as Breast Cancer Now. If you have taken part in any volunteering or fundraising for either Breast Cancer Care or Breast Cancer Now in the past, or are currently doing so, please provide details of these activities below.

Your experience of breast cancer

Keeping in touch with Breast Cancer Now

We'd like to tell you ways you can help further, including through donating, fundraising, campaigning and volunteering, and send you updates on our research, the support we provide, breast health information and our wider work to achieve our aims.

If you already hear from us, we will continue to contact you in the same way. If you don't already hear from us, please tick the box if you are happy to be contacted by:

How we use your information

From time to time, we may contact you by telephone and post about Breast Cancer Now, to keep you updated on our work and ways you can help. You can change the way you hear from us at any time by emailing us at supporterengagement@breastcancernow.org or calling us on 0333 20 70 300.

To help us to work more efficiently, we may analyse your information to make sure you receive the most relevant communications, and to target our digital advertising. This may include using publicly available information. You can ask us to stop this at any time, by contacting us using the above contact details. You can read more about how we will use your information in our privacy policy.

We will use the information provided on this form to select models for The Show Scotland.