Submit a Resource

Young Survival Coalition > Young Women and Breast Cancer > ResourceLink > Submit a Resource

Submit a Resource

The Young Survival Coalition seeks to provide our constituents nationwide and worldwide with the most comprehensive network of programs, resources, peer support and general information on young women and breast cancer, through the ResourceLink program.

Use the form below to share information with us about resources for inclusion in the online and print ResourceLink Guidebook The ResourceLink Guidebook will provide information on support groups, organizations, services, books and other resources that are valuable to young women affected by breast cancer. Whether you are the provider of the resource, support group facilitator, author, or a woman who has benefited from a resource in your community, please enter as much information as you can in the fields below. YSC will confirm all the information and fill in the rest.

If you have questions about breast cancer in young women you would like the ResourceLink to answer, submit your questions to the ResourceLink online or toll-free at 877.YSC.1011.

Organization Type:
If other, please specify:
Organization Name:
Department:
Address 1:
Address 2:
City:
State:
Country:
Phone 1:
Phone 2:
Fax Number:
E-Mail Address:
Website:
Organization Description:

If submission for the ResourceLink Guidebook is a resource:
Type of Resource:
If other, please specify:
Name of Resource:
Description of Resource:
Publisher:
Author(s):
Year of Publication:
Resource Web Address (please paste in the closest URL to reach the resource on your website):
Price of Resource:
Shipping Price (if applicable):
Can this resource be purchased in bookstores?:	Yes No

If submission for the ResourceLink Guidebook is a support group:
Support Group Name:
Support Group Facilitator or Contact Person First Name:
Last Name:
Suffix:
Title:
Group Population:
If other, please specify:
Meeting Address 1:
Meeting Address 2:
Meeting City:
Meeting State:
Meeting Country (if not US):
Phone (if different from organization general number):
Email (if different from organization email):
Meeting Days:
Meeting Times:

Please tell us your name:
Please tell us how you know about this resource if you are not the provider:

Your Name:
Your Email:

Terms and Conditions Privacy Policy Sitemap