Fiction Clinic Form

Fiction Clinic Form

CCWC 2017

Dissect a Best-Selling Novel
to Write a Best-Selling Novel

with Tracie & Jim Peterson

 

Application due no later than April 15.

Date:   mm/dd/yyyy format
Title:
First Name:
Middle Init:
Last Name:
Address:
 
City:
State:
Zip:
Day Phone:
Night Phone:
Cell Phone:
Email:
Website:
Blog:
Working Title:


Completed novel(s):
 
Characters Left
 
 
Why a committed Christian novelist:
 
Characters Left
 
 
What hope to gain:
 
Characters Left
 
 
Why will commit to clinic process:
 
Characters Left
 
To complete your application please email mbagnull@aol.com the first 10 pages of your manuscript (double spaced) and a one
page (single spaced) synopsis. Please send as an attachment, saving both documents as ONE file in Word 2003-2007 or in RTF. In the subject
line of your email put your name and CCWC Fiction Clinic.
 

Verification Check:

Type the characters that you see in this picture.