with Angela Schans

GPCWC 2017 Application

Application due no later than June 30

Date:	mm/dd/yyyy format
Title:
First Name:
Mid Init:
Last Name:
Address:
City:
State:	Select ** -- **Blank** AK -- Alaska AL -- Alabama AR -- Arkansas AZ -- Arizona CA -- California CO -- Colorado CT -- Connecticut DC -- District of Columbia DE -- Delaware FL -- Florida GA -- Georgia GU -- Guam HI -- Hawaii IA -- Iowa ID -- Idaho IL -- Illinois IN -- Indiana KS -- Kansas KY -- Kentucky LA -- Louisiana MA -- Massachusetts MD -- Maryland ME -- Maine MI -- Michigan MN -- Minnesota MO -- Missouri MS -- Mississippi MT -- Montana NC -- North Carolina ND -- North Dakota NE -- Nebraska NH -- New Hampshire NJ -- New Jersey NM -- New Mexico NV -- Nevada NY -- New York OH -- Ohio OK -- Oklahoma OR -- Oregon PA -- Pennsylvania PR -- Puerto Rico RI -- Rhode Island SC -- South Carolina SD -- South Dakota TN -- Tennessee TX -- Texas UT -- Utah VA -- Virginia VI -- Virgin Islands VT -- Vermont WA -- Washington WI -- Wisconsin WV -- West Virginia WY -- Wyoming
Zip:
Day Phone:
Night Phone:
Cell Phone:
Email:
Website:
Blog:

Social Media Platform Link:
Social Media Platform Link:
Social Media Platform Link:
Social Media Platform Link:
(Don't worry  if you do not yet have a website or blog and if you are not yet active on social media.)

1. Have you had any books published yet? If so, list them.

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2. Describe the book you are working on or the book that is already in print that you want to promote.     Be specific and provide up to a half page description.?

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3. If your book is nonfiction, provide a concise chapter summary (one sentence please) for each chapter.

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4. What have you done so far to develop your online platform, brand, or audience?

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5. What do you hope to gain from this clinic?

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