Share Your Story

Share Your Story

Whether you are a survivor, a spouse, a friend or a caretaker, you have a unique story. By sharing your story, you serve as both a source of inspiration and a reminder to other young women with breast cancer and they’re co-survivors that they are not alone. Feel free to share helpful tips or things you wish you knew when you were diagnosed. Please refrain from promoting a product or company. Any promotional information will be removed before your story is published. 

To submit your story, please complete the form below. Contact and demographic information will not be shared online or to third parties.

 
First name *
Last name *
Email Address *
Street Address *
City *
Select a State *
Zip Code *
Phone *
Gender *
I identify as: *
The ethnicity/race I most closely identify with is: *
If you have been diagnosed with breast cancer, at what age were you diagnosed? *
What was your diagnosis date? *
What was the cancer stage at diagnosis? *
With which type of cancer were you diagnosed? *
What kind of treatment did you receive? *
Survivor Story *
We recommend that you type or cut and paste your story here, which should be approximately 450 words. You can include how and when you or your loved one were diagnosed with breast cancer, the treatment process, sources of support (friends and family, YSC or other community resources), challenges and fears, what you are doing today and anything else that you think will help other young women affected by breast cancer.
Photo *
Files must be less than 5 MB. Allowed file types: png gif jpg jpeg.
What type of communications would you like to receive from YSC? *
Please select as many options as you'd like to stay up to date with YSC events, opportunities, and news.
Upload a video
You can upload a video of your story below. Please make sure the video is no bigger than 50mb to prevent issues during upload.
Your video *
Privacy Opt In *