Good News Story Template and Consent Form

Annex 1: ESF 2014 – 2020: Good News Story Template and Consent Form

We would like to use your recent experience as an example to tell others about how West of England Works, the European Social Fund and the National Lottery Community Fund can help them improve their skills and move towards employment.

Before any story can be published, we need to seek your agreement to share your details. We would be grateful if you could please agree to do this and sign the consent section below in part 2.

How will my story be used?
•	We may use your case study in locally, regionally, and sometimes nationally.  This may be in newspapers, magazines, leaflets, newsletters or on websites.
•	We may refer to your case study on a radio station or on TV or in a speech or presentation. 
•	We may use your photograph to accompany your case study wherever possible. 

Part 1 – PARTICIPANT DETAILS (completed by the partner)	
Name or Participant Reference Number:		
	
Part 2 – PARTICIPANT CONSENT (completed by the participant)	
I give my consent for Weston College, the National Lottery Community Fund and local ESF partner organisations to use my case study in the following ways:	To use my name     (tick  or x)	To use my photo       (tick  or x)	
•	In newspaper articles (some articles may also appear on the newspaper’s website) 
			
•	In leaflets, feature articles (magazines) or digital media, (e.g. websites), radio, local newsletters, exhibition stands etc.			
•	In speeches and presentations or in written reports 

	
I would like to see any press release written about my good news story before it is sent to the media (tick  whichever applies)
	Yes	No	
	
I give my consent for the use and digital publication of any video and/or audio recordings in which I might appear. (tick  whichever applies)	Yes	No	
Participant signature:

	Date:	
Part 3 - TIPS FOR COMPLETING THE GOOD NEWS STORY  	
Please describe your participant’s journey using the following criteria:

Section	
Suggested Length	

Brief background	
1 or 2 sentences	

Route to the project, why did they join? 	
1 or 2 paragraphs	

What help did the project provide?	
2 or 3 paragraphs	

What challenges did they face?	
1 or 2 paragraphs	

Progress made, what impact has this had on the participant’s life?	
1 or 2 paragraphs	

Does the participant have any future plans or ambitions?	
1 or 2 sentences (if relevant)	

If possible please include quotes from the participant, their support worker(s), training provider or employer as relevant.

Please give the good news story a headline and sub-headings for each of the above sections.

For suggestions of structure and context please refer to the case studies published on the West of England Works website at: http://www.westofenglandworks.org.uk/news/case-studies-2/ 

Part 4 – PARTICIPANT’S GOOD NEWS STORY (Completed by the partner and participant)

Please could you type the good news story in the box below

	

Part 5 – PROVIDER INFORMATION (completed by the partner)
	
Name of Partner Organisation:		
Has this story appeared in any other media? e.g. local/regional newspaper, internal newsletter, any photos 		

Date form completed:

Thank you for completing this form