Url Full Name * Email * Phone Number * Street Number and Name * Apartment or Unit number City * State – Select Province/State – Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip code Country * Instagram * Twitter Facebook Tiktok Website YouTube Short Bio * Book Title * Upload Book Cover * Accepts .jpg, .png, .jpeg) * Upload Headshot * Accepts .jpg, .png, .jpeg) * Upload Additional Documents Accepts .pdf, .doc, .docx Assistance Request: If Yes select from the drop down American Sign Language (ASL) Interpreter Closed Captioning Physical Accessibility Assistance Other “If “Others” was selected above, please specify your response here.” Interview Availability Calendar Please provide a variety of dates in June for an interview Mode * Virtual In-person
