Build Your Author Platform Clinic

Vickie Baker Scholarship Form

with Dianne E. Butts

Application due no later than April 16.

Date:   mm/dd/yyyy format
First Name:
Mid Init:
Last Name:
Day Phone:
Night Phone:
Cell Phone:

Please answer the following questions.
If you were a real whiz at Social Media, what book(s), speaking, or other product(s) would
you want to get the word out about?
Characters Left
Do you currently have at least on ebook for sale on Amazon?
Characters Left
What online destinations do you have to send people to? (Website? Blog? Amazon author page?
Facebook author page? Other? Please provide URL.)
Characters Left
List your current social media stats. Facebook author page Likes, Twitter handle(s) with # of followers,
email newsletter list with number of subscribers, etc.?
Characters Left
In this clinic we will work primarily on the following social media platforms: Twitter, Facebook pages,
Mailchimp newsletters, SEO for blog posts, Amazon author page, website on Do you feel you
need help in there areas? And do you have a working knowledge of there, or at least are you fairly computer savvy?
(If you use Wordpress, that's fine for a destinatio  and for our SEO segment, but know i cannot help you
with your Wordpress blog or site.)
Characters Left
Do you have a basic working knowledge of Excel?
Characters Left
Can you bring a laptop to the clinic to work online?
Characters Left
What do you hope to gain from this clinic?
Characters Left

Verification Check:

Type the characters that you see in this picture.