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* 1. What's your full name?

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* 2. What is your email address?

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* 3. How long have you been writing?

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* 4. What genre is your book in?

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* 5. What state of completion is your book in right now?

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* 6. Please submit a short writing sample. It can be as few as 5 pages, or a complete Chapter/Section, a full Short Story or up to 10 poems.

PDF, DOC, DOCX file types only.
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* 7. What's your biggest struggle with your writing, and what are you looking for from this book coaching experience?

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