We are so excited that you are interested in sharing your EMPath story. Our goal is to make this a fun and positive experience for you. Participant stories, along with photos and/or videos, can help spread the word about EMPath’s impact to get more funding, advocate for policy changes, showcase resilience, and inspire other participants to achieve their goals.

Stories, photos, and videos will only be used with your consent. You have absolutely NO obligation to share your story, photo or video. Choosing not to give consent has no impact on your participation in our programs. Please read through these FAQs before signing the story and media consent form.

Where will my story, photo, or video be shared?

Your story, and any images or video we take of you, may be used in print and digital format in these ways:

  • EMPath’s website (click here for examples)
  • EMPath’s social media accounts (Facebook, Twitter, LinkedIn, YouTube) (click here and here for examples)
  • Fundraising materials (such as email and mail appeals) (click here for an example)
  • Marketing/advertising materials (online ads, emails, flyers, brochures, postcards, or signs on display in an EMPath office) (click here for an example)
  • Reports (research papers, impact reports, annual reports) (click here for an example - page 4)
  • Legislative advocacy materials (emails, action alerts, flyers) (click here for an example)
  • Training materials for EMPath staff and staff at other organizations (click here for an example)
  • In stories or videos in the news media, including but not limited to newspaper, TV, radio, magazines, and online publications (click here for an example)

Who will my story, photo, or video be shared with?

Your story, and any images or video we take of you, may be shared with the following types of people:

  • Current or future donors or supporters of EMPath
  • Current or future subscribers to EMPath email lists, and current or future followers on social media
  • Current or future EMPath staff
  • Current or future participants in an EMPath program
  • Staff at current or future organizations who work with EMPath through our global network or in advocacy coalitions
  • People who help shape policies that impact EMPath and our participants, such as politicians, people who work for government agencies, and policy experts - Members of the media

What are the goals of sharing my story, photo, or video?

Your story, and any images or video we take of you, may be shared with the following goals in mind:

  • To showcase and honor the hard work and resilience of EMPath participants
  • To inspire other EMPath participants, or encourage new people to join an EMPath program
  • To raise money so that we can continue to operate our existing programs, or start new programs
  • To demonstrate the impact of EMPath’s coaching model (Mobility Mentoring®)
  • To influence decision-makers on issues that affect EMPath and our participants
  • To attract people to support EMPath
  • To attract people to seek a job at EMPath
  • To attract organizations to join EMPath’s global network
  • To help explain what EMPath does and why it matters

What information will be shared?

Unless you indicate otherwise, EMPath will only share your first name. If you would like to remain anonymous, you can request that your name be changed on the consent form. We will also honor any other way you would like your name displayed as indicated on the consent form (ex. first initial only, first name + last initial).

We will never publicly share personal information, such as your address, phone number, email address, or the full names of your children. When you review the draft of your story before it is published, you will be able to remove any information you may have shared in the initial conversation or interview that you would not like to be shared publicly.

What happens after my photos and information go public?

Once stories, photos, audio, or video enter the public domain, other outlets may use them, too. For example, a newspaper reporter may see a story on EMPath’s Twitter and decide to write about it. After your story is made public, the organization has limited control over the extent of its reach. It is important to keep in mind that anyone can access your story, photo, or video once it is public on our website and social media accounts.

Before you sign this form, make sure you are comfortable with your story/image* being in the public domain. Our organization cannot control how—or for how long—others use or distribute your information, photos, and video. We also cannot guarantee that news outlets or other organizations will not display your publicized images or information on their own websites.

*Note: You can choose to share your story without an image. Indicate this on the consent form.

I'm not sure I want to make my story public. Do I have to sign the form?

Absolutely not! Signing this form and sharing your story, photo, or video is your choice alone and will have no effect on your participation in EMPath’s programs.

What if I get asked about something I don’t want to talk about?

You do not have to answer any question you don’t want to. Simply saying, “pass” when asked a question is TOTALLY fine. For story sharing interviews, we will send you the questions ahead of time, but please note there may be additional follow-up questions asked based on the flow of conversation, which can’t be anticipated ahead of time.

When you fill out the consent form, there is a section where you can write ahead of time any topics that are off-limits for you. The interviewer will be sure not to asked about these topics. (Note that there are certain topics we’ll never ask about, like

Can I withdraw my consent?

You may remove yourself from this process at ANY time, even after completing the consent form. If you would would like to revoke consent after completing the form, simply let your EMPath mentor or another staff member know, and/or email EMPath’s Communications Department at disruptpoverty@gmail.com. Note that if we have already publicly shared your story, image, and/or video, however, your withdrawal of consent can only impact future use.

Do I have final approval of the story and image before it is distributed, whether in print, online, or otherwise?

Yes. Before we use any portion of the initial story and information you provide, we will send it to you to review to make sure we have captured your story accurately and that you are comfortable with its portrayal. You will have a chance to provide any edits you wish, including adding or removing information. You will also get to see any photos or videos before they are published. You will be asked to review the draft by a certain date. If you do not grant final approval, we will not use your story, photo, or video.

After the original version of your story is published (often on the Personal Stories section of the website), you will also have a say in certain future versions of your story – those in Annual Reports, fundraising appeals, or other major publications. For example, if you approve your story for the website and we later decide to include a shortened version of it in a fundraising appeal letter, we will send you the draft of the letter for your edits and approval before it is finalized. (or just say can’t guarantee future approval???)

For photos and videos, we are NOT able to ask you each time we use them. *maybe this is a question on the form – would you like to review future iterations of your story yes/no?

_For stories in the media…?? _

Will I receive monetary recognition for sharing my story?

Yes. As a recognition for the time you are taking to share your story with us, you will receive a gift card. We are honored and grateful that you have chosen to share your story and we believe in compensating people for their time. Other than the gift card, you will not receive any special treatment or additional “perks” as a result of sharing your story.

_-different for sharing w/ media _

When does my consent expire?

Unless specified by you, the consent form expires TWO YEARS from the date on the form. At that time, EMPath will reach out to you to ask if you would like to renew your consent or not.

_-different for sharing w/ media _

What are some sample interview questions?

-add sample Qs here-