Content Provider Application - Self-Healing Expressions

If you're interested in proposing a self-help/self-healing course to Self-Healing Expressions,
please complete this online application.

Note to AOL users: Download the latest version of AOL to eliminate difficulties with this form.

Bold fields are required.

Name

Title

Company

Street Address

City

State/Province

Country

Zip or Postal Code

Email Address

Phone Number

Fax Number

Web site or Web presence (Kindly provide URL)

Would you like to add your link to our "Links" page? Yes No (you must have a Web site)

I am interested in joining your Affiliate program. Yes No

Do we have your permission to share your e-mail address
with alternative healing groups or organizations? Yes No

Course Title

Course Description
Please provide a short description of your proposed course

Ideally my course works best when delivered:
Daily Weekly Bi-weekly Monthly Other (Specify )

The length of my course is lessons. (Note: At least 20 lessons required. Courses with 20 lessons or more tend to have greater appeal to our audience)

I can produce this entire course within this time frame:
The next month

The next two months

The next three months

Other (please specify)

Potential content providers must have strong writing skills and experience. A strong web presence and article or book publishing credits a plus.

Have you authored a book? If so, please provide title(s) and publisher:

Have you published articles?
Yes No

If so, are they posted online? Please provide link to page:

If they are not published online, please list publication names and issues where your articles may be found.

Your Educational Degrees/Credentials

Short biography highlighting relevant professional experience. This is for Web site posting. You will have the opportunity to edit this prior to Web site posting.

Where did you hear about us?

Comments/Questions?

We will contact you soon regarding this proposal.

Upon acceptance, we will generate a contract, we will request a list of course lesson titles, a photo headshot, and an introductory lesson. This lesson will serve as your writing sample and will be posted on the Web site. You will have the opportunity to proof all material prior to the Web site posting.

Content Providers must have e-mail access and the ability to meet deadlines. We reserve the right to request additional information from applicants. Please review our policies.

Additional information for Content Providers

Security Code:
Human Verify Code:

An auto-response confirmation and a copy of your proposal application will be
forwarded to you via e-mail upon submission.

Thank you for your application!


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