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Build Your Platform Clinic
Platform Clinic Form
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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