Success at Rock Bottom: Co-Author & Featured Author Interest Form
Share your story and express your interest in contributing to this inspirational project.
Basic Information
Full Legal Name
*
First Name
Middle Name
Last Name
Public/Professional Name (if different)
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City & State
*
Website or Social Media Links
About Your Story
Story Title or Theme
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Briefly Describe Your Rock Bottom Experience
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What Breakthrough, Healing, or Transformation Came from It?
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What Message Do You Hope Readers Receive?
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Why Should Your Story Be Included in This Project?
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Foundational Featured Author
Upload Your Professional Headshot
*
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Upload Additional Materials
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Short Professional Bio
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Why is Success at Rock Bottom significant in today’s society?
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What impact do you hope this book will have on readers and communities?
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Writing & Commitment
Have you previously written for a publication or book?
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Yes
No
Currently Writing
Are you willing to meet writing and submission deadlines?
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Yes
No
Are you open to editorial support and formatting adjustments for consistency?
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Yes
No
Acknowledgement & Consent
Agreement Acknowledgement
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I understand that submitting this form does not guarantee selection and that all stories and materials are subject to review, editing, approval, and publishing standards.
Media & Promotional Consent
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I consent to approved photos, biography details, and submitted materials being used for book promotion, interviews, marketing, social media, and related promotional purposes connected to the Success at Rock Bottom project.
Digital Signature
*
Submit
Submit
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